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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700266

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pauline RitaNoseworthy Sex Female

Date of Birth November 8, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Harvey Noseworthy MAIDEN NAME of Mother Alice Alcock

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

Residence of Father when child was born Sydney Present address of Father 28 Davenport Rd.

Occupation of Father at Birth of child Rigger Place of birth of Father Spaniards Bay

Race Name and present address of Physician in attendance at birth Mrs. M. Hiscock, nurse

Signature of Applicant Alice Noseworthy Address of Applicant 28 Davenport Rd., Sydney Date 28 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pauline RitaNoseworthy

Born at Sydney in the County of Cape Breton

That Pauline RitaNoseworthy Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 8, 1919

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

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