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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000545

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sarah ElizabethEmberley Sex Female

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

Name of Father Patrick Emberley MAIDEN NAME of Mother Beatrice McCarthy

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 Miner Place of birth of Father North Sydney

Race Caucasian Name and present address of Physician in attendance at birth

Signature of Applicant John P.J. White Address of Applicant 268 Kennedy Dr. Dartmouth Date March 20, 1974

Relationship of Applicant to child son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sarah ElizabethEmberley

Born at North Sydney in the County of Cape Breton

That Sarah ElizabethEmberley Whose Birth is sought to be registered was

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

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

Church record of Certificate of Birth and Baptism. Personal knowledge as her son.

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