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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700575

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred MariaMcNeil Sex Female

Date of Birth October 12, 1919 Place of Birth Little Bras D'OrCounty of Cape Breton

Name of Father Joseph A. McNeil MAIDEN NAME of Mother Wretha Jessome

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

Residence of Father when child was born Little Bras d'Or Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Little Bras d'Or

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

Signature of Applicant Wretha McNeil Address of Applicant Little Bras d'Or Date 10 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred MariaMcNeil

Born at Little Bras D'Or in the County of Cape Breton

That Mildred MariaMcNeil Whose Birth is sought to be registered was

born at Little Bras D'Or Cape Breton County on October 12, 1919

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

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