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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100230

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice AnnBurke Sex Female

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

Name of Father Patrick Joseph Burke MAIDEN NAME of Mother Christy Bryden

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

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

Occupation of Father at Birth of child Place of birth of Father Little Lorraine

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Alice Ann Burke McMaster Address of Applicant PO Box 434 Inverness Date October 16, 1996

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice AnnBurke

Born at Glace Bay in the County of Cape Breton

That Alice AnnBurke 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:

I recall the event - (my date of birth is Oct 28 1915)

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