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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700509

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lilian PearlDawe Sex Female

Date of Birth October 11, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Cyril Dawe MAIDEN NAME of Mother Maud Stevens

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

Residence of Father when child was born Glace Bay Present address of Father South St.

Occupation of Father at Birth of child Miner Place of birth of Father Hopewell, Nfld

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

Signature of Applicant Cyril Dawe Address of Applicant Glace Bay Date 18 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lilian PearlDawe

Born at Glace Bay in the County of Cape Breton

That Lilian PearlDawe Whose Birth is sought to be registered was

born at Glace Bay 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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