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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000115

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn MayOsborne Sex Female

Date of Birth May 6, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Duncan Osborne MAIDEN NAME of Mother Lillian Maud Fader

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

Residence of Father when child was born Malden, Massachusetts, USA Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant William A. Fader Address of Applicant 11 Charlotte Street, Sydney, Cape Breton Date 17 January 1951

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn MayOsborne

Born at Sydney in the County of Cape Breton

That Evelyn MayOsborne Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 6, 1922

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

I am an uncle of the said Evelyn May Osborne and have personal knowledge of the fact of her birth (certificate from school records attached)

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