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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000486

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of IsabelRudolph Sex Female

Date of Birth August 12, 1922 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Charles Rudolph MAIDEN NAME of Mother Susan Bell Haggarty

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

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

Occupation of Father at Birth of child Retired Place of birth of Father Liscomb, Guysborough

Race Name and present address of Physician in attendance at birth

Signature of Applicant Isabel Nelson Address of Applicant RR #1, Arthur, Ontario Date 31 July 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of IsabelRudolph

Born at Sydney Mines in the County of Cape Breton

That IsabelRudolph Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on August 12, 1922

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

I am an older sister and recall the event

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