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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000404

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 12, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Grant MAIDEN NAME of Mother Margaret MacDonald

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 Steward Place of birth of Father St. Johns, Newfoundland

Race British Name and present address of Physician in attendance at birth Dr. M.G. Tompkins

Signature of Applicant Rosemary Grant Young Address of Applicant 64 Taylor St. Sydney Date April 17, 1969

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Rose MaryGrant Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 12, 1921

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

Certificate of Baptism duly signed and attached

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