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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000298

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Augusta AlmaPenny Sex Female

Date of Birth November 1, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Patrick Joseph Penny MAIDEN NAME of Mother Ellen Daye

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

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

Occupation of Father at Birth of child Trimmer on Coal Pier Place of birth of Father Burin, Newfoundland

Race White Name and present address of Physician in attendance at birth Dr. L.R. Meech

Signature of Applicant Ellen Penny Address of Applicant 10 St. Andrews St. Galt, Ontario Date July 28, 1961

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Augusta AlmaPenny

Born at North Sydney in the County of Cape Breton

That Augusta AlmaPenny Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on November 1, 1921

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

1 Relationship to Augusta Alma Penny - Mother 2 Baptism Certificate 3 Family Record written on paper, which is kept in Family Bible

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