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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000971

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 19, 1921 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father J. Leo Carrigan MAIDEN NAME of Mother Mary J. McMullin

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 Coal Miner Place of birth of Father Alberton, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Veronica McDougall Address of Applicant 406 High St. Moncton, New Brunswick Date March 17, 1982

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That VeronicaCarrigan Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on September 19, 1921

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

I have known her for thirty years

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