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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700418

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sadie IreneGrouchy Sex Female

Date of Birth October 13, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Edward Grouchy MAIDEN NAME of Mother Catherine Grouchy

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

Residence of Father when child was born Sydney Present address of Father 14 Essex St.

Occupation of Father at Birth of child Clerk Place of birth of Father St. Johns, Nfld

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

Signature of Applicant Catherine Grouchy Address of Applicant 14 Essex St., Sydney Date 06 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sadie IreneGrouchy

Born at Sydney in the County of Cape Breton

That Sadie IreneGrouchy Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 13, 1919

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

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