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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000692

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joan AvitusCleary Sex Female

Date of Birth January 31, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Thomas Cleary MAIDEN NAME of Mother Mary McGrath

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 Fisherman Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joan Avitus Cleary Address of Applicant 10 Canal St. Millbury, Massachusetts, USA Date July 19, 1977

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joan AvitusCleary

Born at North Sydney in the County of Cape Breton

That Joan AvitusCleary Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on January 31, 1921

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

Baptismal Certificate

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