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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700525

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Laretta BernadetteMcInnis Sex Female

Date of Birth October 25, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Alexander McInnis MAIDEN NAME of Mother Mary McLean

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

Residence of Father when child was born Dominion No. 4 Present address of Father

Occupation of Father at Birth of child Engineer Place of birth of Father Port Morien

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

Signature of Applicant Alexander McInnis Address of Applicant Dominion No. 4 Date 14 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Laretta BernadetteMcInnis

Born at Glace Bay in the County of Cape Breton

That Laretta BernadetteMcInnis Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 25, 1919

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

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