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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000596

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Celina Maud FrancesBennett Sex Female

Date of Birth October 16, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Harold Bennett MAIDEN NAME of Mother Bessie 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 Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Edith Barrett Address of Applicant 3792 Gottingen St. Apt. 709 Halifax Date September 22, 1975

Relationship of Applicant to child Cousin

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Celina Maud FrancesBennett

Born at North Sydney in the County of Cape Breton

That Celina Maud FrancesBennett Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 16, 1921

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

Baptism Certificate

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