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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100034

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sarah JaneConnolly Sex Female

Date of Birth August 24, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Patrick Connolly MAIDEN NAME of Mother Mary MacNeil

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah Jane Deveaux Address of Applicant 11 Victoria St. Glace Bay Date September 12, 1983

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sarah JaneConnolly

Born at Glace Bay in the County of Cape Breton

That Sarah JaneConnolly Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 24, 1921

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

Enclosed please find a Birth and Baptism Certificate from St. John the Baptist Parish, Glace Bay

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