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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700269

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Janet Thomson McCutcheonHumphriey Sex Female

Date of Birth November 10, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas Humphriey MAIDEN NAME of Mother Robina Calquhoun

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

Residence of Father when child was born Syndey Present address of Father 242 Park St.

Occupation of Father at Birth of child Rigger Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth W.M. Cowperthwaite

Signature of Applicant W.M. Cowperthwaite Address of Applicant Sydney Date 18 November 1919

Relationship of Applicant to child doctor

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Janet Thomson McCutcheonHumphriey

Born at Sydney in the County of Cape Breton

That Janet Thomson McCutcheonHumphriey Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 10, 1919

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

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