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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700457

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JosephineRogers Sex Female

Date of Birth October 11, 1919 Place of Birth North SydneyCounty of Cape Breton

Name of Father Alfred Rogers MAIDEN NAME of Mother Kate Beaton

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

Residence of Father when child was born North Sydney Present address of Father Cornwall St.

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

Race Name and present address of Physician in attendance at birth Dr. M.T. McLean

Signature of Applicant Alfred Rogers Address of Applicant Cornwall St., North Sydney Date 12 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JosephineRogers

Born at North Sydney in the County of Cape Breton

That JosephineRogers Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 11, 1919

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

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