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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000115

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joan EileenPetten Sex Female

Date of Birth May 24, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Cyril Eleazer Petten MAIDEN NAME of Mother Ida Haynes

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

Residence of Father when child was born Sydney Present address of Father Sydney

Occupation of Father at Birth of child Brakeman, Canadian National Railways Place of birth of Father Kelligrews, Conception Bay, Newfoundland

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. J.F. Macaulay

Signature of Applicant C.E. Petten Address of Applicant 19 South Bentinck St. Sydney Date October 4, 1949

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joan EileenPetten

Born at Sydney in the County of Cape Breton

That Joan EileenPetten Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 24, 1921

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

(1) I am the father of the said Joan Eileen Petten and have personal knowledge of her birth (2) Certificate of Baptism attached hereto

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