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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000657

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emma Roper Sex Female

Date of Birth June 11, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Charles Purcell Roper MAIDEN NAME of Mother Annie May Townes

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 Miner Place of birth of Father Ingonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emma Antle Address of Applicant 3401 Ellsworth Ave. New Waterford Date October 6, 1976

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emma Roper

Born at Glace Bay in the County of Cape Breton

That Emma Roper Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 11, 1921

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

I am a sister of Emma Roper. I remember when she was born.

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