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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000376

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EdithHorne Sex Female

Date of Birth May 27, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Murray A. Horne MAIDEN NAME of Mother Annie Beaton

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father North Sydney

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

Signature of Applicant Edith Horne Address of Applicant North Sydney Date 7 July 1967

Relationship of Applicant to child Applicant herself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EdithHorne

Born at North Sydney in the County of Cape Breton

That EdithHorne Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on May 27, 1921

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

By Certificate of Baptism and having been told on numerous occasions by my parents

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