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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000915

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances CharlotteIves Sex Female

Date of Birth January 29, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Everett Dawson Ives MAIDEN NAME of Mother Mary Catherine Annear

Residence of Father when child was born Sydney Present address of Father North Tryon, Prince Edward Island

Occupation of Father at Birth of child Branch Manager, Chappells Ltd. Lumber factory Place of birth of Father North Tryon, Prince Edward Island

Race British Name and present address of Physician in attendance at birth Dr. MacAulay

Signature of Applicant Everett D. Ives Address of Applicant North Tryon, Prince Edward Island Date November 16, 1940

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances CharlotteIves

Born at Sydney in the County of Cape Breton

That Frances CharlotteIves Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 29, 1921

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

I am the father of the child and have been her support from time of birth until she went to work about two years ago.

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