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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000423

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice Beatrice ChristineMcFarlane Sex Female

Date of Birth October 24, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Douglas Hugh McFarlane MAIDEN NAME of Mother Ellen Rose Gouthro

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Newspaper branch manager Place of birth of Father South West Margaree

Race Canadian Name and present address of Physician in attendance at birth Dr. Dan McNeil

Signature of Applicant Mrs. Douglas McFarlane Address of Applicant 259 King Edward St. Glace Bay Date December 11, 1969

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice Beatrice ChristineMcFarlane

Born at Glace Bay in the County of Cape Breton

That Alice Beatrice ChristineMcFarlane Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 24, 1921

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

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