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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000310

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rose KatherineMuise Sex Female

Date of Birth September 22, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Peter Muise MAIDEN NAME of Mother Elizabeth LeBlanc

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

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

Occupation of Father at Birth of child Steelworker Place of birth of Father Halifax

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

Signature of Applicant Mrs. Bessie Agnes Muise Address of Applicant Sydney Date September 3, 1962

Relationship of Applicant to child Mohter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rose KatherineMuise

Born at Sydney in the County of Cape Breton

That Rose KatherineMuise Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 22, 1921

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

I am the mother of Rose Katherine Muise and I distinctly remember the date of her birth, the day she was baptized and the date of her first communion. I remember the first day she attended school (Baptism certificate)

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