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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000578

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie IreneRussell Sex Female

Date of Birth January 1, 1922 Place of Birth North SydneyCounty of Cape Breton

Name of Father Isaac Russell MAIDEN NAME of Mother Frances Ashford

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

Residence of Father when child was born North Sydney, Cape Breton Present address of Father Deceeased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ruth Anthony Address of Applicant 1146 Wellington Street, Sydney, Cape Breton Date 19 May 1976

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie IreneRussell

Born at North Sydney in the County of Cape Breton

That Jessie IreneRussell Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on January 1, 1922

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

Baptismal certificate

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