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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000623

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael JosephPenny Sex Male

Date of Birth July 11, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father William Timothy Penny MAIDEN NAME of Mother Sarah Mercer

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

Residence of Father when child was born Cameron St. Sydney Present address of Father deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Holyrood, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Annie Penny Address of Applicant Mira Road Date March 29, 1976

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael JosephPenny

Born at Sydney in the County of Cape Breton

That Michael JosephPenny Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 11, 1921

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

I am his mother

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