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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700579

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carolina JeannetteReashor Sex Female

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

Name of Father Richard James Reashor MAIDEN NAME of Mother Margaret Ellen Roach

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Boularderie

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

Signature of Applicant James Reashor Address of Applicant Little Bras d'Or Bridge Date 23 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carolina JeannetteReashor

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

That Carolina JeannetteReashor Whose Birth is sought to be registered was

born at Little Bras D'Or Bridge 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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