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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700354

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lillian May GertrudeLarney Sex Female

Date of Birth November 5, 1919 Place of Birth New VictoriaCounty of Cape Breton

Name of Father Joseph Larney MAIDEN NAME of Mother Mary Anne Nicholson

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

Residence of Father when child was born New Victoria Present address of Father

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

Race Name and present address of Physician in attendance at birth Dr. D.J. Hartigan

Signature of Applicant Joseph Larney Address of Applicant New Victoria Date 24 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lillian May GertrudeLarney

Born at New Victoria in the County of Cape Breton

That Lillian May GertrudeLarney Whose Birth is sought to be registered was

born at New Victoria Cape Breton County on November 5, 1919

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

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