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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000010

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leta LeoraSisco Sex Female

Date of Birth June 24, 1922 Place of Birth YarmouthCounty of Yarmouth

Name of Father George Edward Sisco MAIDEN NAME of Mother Beatrice Jane Beals

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

Residence of Father when child was born Yarmouth Present address of Father

Occupation of Father at Birth of child Truck Driver Place of birth of Father Arcadia, Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Beatrice O'Connell Address of Applicant Yarmouth Date 26 September 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leta LeoraSisco

Born at Yarmouth in the County of Yarmouth

That Leta LeoraSisco Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on June 24, 1922

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

Mrs. Beatrice Jane O'Connell. I am the mother of Leta Leora Sisco.

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