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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100119

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ethel MayCollins Sex Female

Date of Birth March 7, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father George Collins MAIDEN NAME of Mother Susan Waye

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

Residence of Father when child was born Sydney 12 West St. Present address of Father deceased

Occupation of Father at Birth of child Steel worker Place of birth of Father Bonavista, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ethel May Roberts Address of Applicant 698 Victoria Road, Sydney Date August 26, 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ethel MayCollins

Born at Sydney in the County of Cape Breton

That Ethel MayCollins Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 7, 1921

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

This is my own birth and Certificate of Baptism

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