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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000683

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie KathleenWrathall Sex Female

Date of Birth June 29, 1921 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Anthony Wrathall MAIDEN NAME of Mother Jane Ralph

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

Residence of Father when child was born Reserve Mines Present address of Father deceased

Occupation of Father at Birth of child Mine Official Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jane Wrathall Address of Applicant RR4 Sydney Date April 23, 1977

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie KathleenWrathall

Born at Reserve Mines in the County of Cape Breton

That Jessie KathleenWrathall Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on June 29, 1921

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

I have known family for many years both when living at Reserve and at present residence and having seen baptismal certificate and would vouch whole heartily to the facts mentioned above

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