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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700323

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy EstherAppleton Sex Female

Date of Birth November 24, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Stanley Harcourt Appleton MAIDEN NAME of Mother Mary Margaret Mash

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

Residence of Father when child was born Glace Bay Present address of Father Caledonia Mines

Occupation of Father at Birth of child Machinist Place of birth of Father Belgrove, Leister, England

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

Signature of Applicant Stanley Harcourt Appleton Address of Applicant Caledonia Mines, Glace Bay Date 06 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy EstherAppleton

Born at Glace Bay in the County of Cape Breton

That Dorothy EstherAppleton Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 24, 1919

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

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