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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90400047

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary VeronicaYoung Sex Female

Date of Birth February 25, 1922 Place of Birth North SydneyCounty of Cape Breton

Name of Father J.W. Young MAIDEN NAME of Mother Mary Ellen Whalen

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

Residence of Father when child was born North Sydney Present address of Father

Occupation of Father at Birth of child Wireless Operator Place of birth of Father Newfoundland

Race English Name and present address of Physician in attendance at birth Dr. H. Rindress

Signature of Applicant John W. Young Address of Applicant North Sydney Date 3 June 1936

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary VeronicaYoung

Born at North Sydney in the County of Cape Breton

That Mary VeronicaYoung Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on February 25, 1922

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

That I am the father of said Mary Veronica Young and I have personal knowledge of the birth.

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