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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700415

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary CatherineMuise Sex Female

Date of Birth October 12, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Peter Muise MAIDEN NAME of Mother Lillie Arsenault

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

Residence of Father when child was born Sydney Present address of Father 13 Dachin St.

Occupation of Father at Birth of child Steel worker Place of birth of Father Arichat

Race Name and present address of Physician in attendance at birth Dr. E.M. McDonald

Signature of Applicant Dr. E.M. McDonald Address of Applicant Bentnick St., Sydney Date 01 November 1919

Relationship of Applicant to child doctor

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary CatherineMuise

Born at Sydney in the County of Cape Breton

That Mary CatherineMuise Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 12, 1919

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

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