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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000114

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie FrancesO'Brien Sex Female

Date of Birth May 31, 1922 Place of Birth Gardiner MinesCounty of Cape Breton

Name of Father Richard Andrew O'Brien MAIDEN NAME of Mother Annie Walsh

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

Residence of Father when child was born Gardiner Mines, Cape Breton Present address of Father Gardiner Mines, Cape Breton

Occupation of Father at Birth of child Miner Place of birth of Father Gardiner Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Richard O'Brien Address of Applicant Gardiner Mines, Cape Breton Date 26 February 1951

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie FrancesO'Brien

Born at Gardiner Mines in the County of Cape Breton

That Annie FrancesO'Brien Whose Birth is sought to be registered was

born at Gardiner Mines Cape Breton County on May 31, 1922

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

I am the father of the child above and was present at the childs birth. (certificate from church records attached)

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