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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700370

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth VenitaMcInnis Sex Female

Date of Birth November 24, 1919 Place of Birth Little Bras D'OrCounty of Cape Breton

Name of Father Archibald McInnis MAIDEN NAME of Mother Eliza McNeil

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

Residence of Father when child was born Little Bras d'Or Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Port Morien

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

Signature of Applicant Archibald McInnis Address of Applicant Little Bras d'Or Date 12 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth VenitaMcInnis

Born at Little Bras D'Or in the County of Cape Breton

That Elizabeth VenitaMcInnis Whose Birth is sought to be registered was

born at Little Bras D'Or 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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