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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000065

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie LillianRateau Sex Female

Date of Birth January 29, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Claude Rateau MAIDEN NAME of Mother Lillian Pyke

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

Residence of Father when child was born Sydney Present address of Father Hamilton, Ontario

Occupation of Father at Birth of child Motor Mechanic Place of birth of Father Montreal, Quebec

Race French Name and present address of Physician in attendance at birth deceased

Signature of Applicant Mrs. Lillian Rateau Address of Applicant 9 Proctor Blvd. Hamilton, Ontario Date April 16, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie LillianRateau

Born at Sydney in the County of Cape Breton

That Marjorie LillianRateau Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 29, 1921

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

I am the mother of the above named Marjorie Lillian Rateau

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