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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500560

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anne LorettaMcEachern Sex Female

Date of Birth September 5, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Daniel McEachern MAIDEN NAME of Mother Catherine McVarish

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

Residence of Father when child was born 208 Gatacre Street Present address of Father

Occupation of Father at Birth of child city policeman Place of birth of Father Brook Village

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine McEachern Address of Applicant 208 Gatacre Street Date 27 Aug 1939

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anne LorettaMcEachern

Born at Sydney in the County of Cape Breton

That Anne LorettaMcEachern Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 5, 1921

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

I am the Mother of the said Anne Loretta McEachern

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