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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700233

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 20, 1919 Place of Birth FlorenceCounty of Cape Breton

Name of Father Thomas William Graham MAIDEN NAME of Mother Mabel Bell

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 Newfoundland

Race Name and present address of Physician in attendance at birth Dr. William T. McKeough

Signature of Applicant Thomas William Graham Address of Applicant Florence Date 21 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Florence in the County of Cape Breton

That PatriciaGraham Whose Birth is sought to be registered was

born at Florence Cape Breton County on December 20, 1919

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

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