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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000330

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eleanor MildredFoley Sex Female

Date of Birth June 18, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas Roley MAIDEN NAME of Mother Alice MacIntyre

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

Residence of Father when child was born New Aberdeen Glace Bay Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Alice Foley Address of Applicant 8 MacPherson Street, Glace Bay, Cape Breton Date 26 April 1966

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eleanor MildredFoley

Born at Glace Bay in the County of Cape Breton

That Eleanor MildredFoley Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 18, 1922

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

A. I am her mother B. Baptismal certificate enclosed

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