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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000893

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MyrtleWarren Sex Female

Date of Birth October 13, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father James Warren MAIDEN NAME of Mother Isabel Burridge

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Myrtle Crossman Address of Applicant 54 Champlain Ave. Sydney Date June 26, 1950

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MyrtleWarren

Born at Sydney in the County of Cape Breton

That MyrtleWarren Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 13, 1921

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

Certificate of Baptism

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