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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700462

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 16, 1919 Place of Birth North SydneyCounty of Cape Breton

Name of Father James Dunn MAIDEN NAME of Mother Johanna Derrick

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

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

Occupation of Father at Birth of child Business manager Place of birth of Father Liverpool, England

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

Signature of Applicant Johanna Dunne Address of Applicant Queen St., North Sydney Date 14 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That Mary EvelynDunne Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 16, 1919

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

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