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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700214

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Christina KatherineDart Sex Female

Date of Birth November 27, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Austin Albert Dart MAIDEN NAME of Mother Annie Armsworthy

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Sydney Present address of Father 110 Jack St.

Occupation of Father at Birth of child Place of birth of Father Guysborough

Race Name and present address of Physician in attendance at birth Dr. F. Nathanson

Signature of Applicant Austin Albert Dart Address of Applicant 100 Jack St. Sydney Date 01 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Christina KatherineDart

Born at Sydney in the County of Cape Breton

That Christina KatherineDart Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 27, 1919

My knowledge of the fact and date of such Birth is based on the following Circumstances:

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