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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700227

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ElizabethMcIntyre Sex Female

Date of Birth December 11, 1919 Place of Birth FlorenceCounty of Cape Breton

Name of Father M. Norman McIntyre MAIDEN NAME of Mother Elizabeth Richardson

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

Residence of Father when child was born Florence Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Sydney Mines

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

Signature of Applicant Norman McIntyre Address of Applicant Florence Date 25 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ElizabethMcIntyre

Born at Florence in the County of Cape Breton

That ElizabethMcIntyre Whose Birth is sought to be registered was

born at Florence Cape Breton County on December 11, 1919

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

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