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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000616

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 22, 1922 Place of Birth Ben EoinCounty of Cape Breton

Name of Father Charles MacAskill MAIDEN NAME of Mother Mary Ann Campbell

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

Residence of Father when child was born Ben Eoin, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Ben Eoin, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rose M. Clements Address of Applicant 108 Frederick Avenue, Halifax Date 25 January 1977

Relationship of Applicant to child Sister

AFFIDAVIT

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

Born at Ben Eoin in the County of Cape Breton

That CarolineMacAskill Whose Birth is sought to be registered was

born at Ben Eoin Cape Breton County on July 22, 1922

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

Census record, National Registration, marriage extract.

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