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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700487

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey MildredRoper Sex Female

Date of Birth October 20, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Harold Roper MAIDEN NAME of Mother Annie Louise Parsons

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

Residence of Father when child was born Sydney Mines Present address of Father Main St.

Occupation of Father at Birth of child Carpenter Place of birth of Father England

Race Name and present address of Physician in attendance at birth Dr. D.W. Archibald

Signature of Applicant Harold Roper Address of Applicant Sydney Mines Date 10 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey MildredRoper

Born at Sydney Mines in the County of Cape Breton

That Audrey MildredRoper Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on October 20, 1919

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

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