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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000668

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 24, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father John David Graham MAIDEN NAME of Mother Agnes Boutilier

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

Residence of Father when child was born Tower Road, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Check Weighman, No., 11 Colliery Place of birth of Father Westville, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Tom MacMullin Address of Applicant Donkin, Cape Breton Date 12 January 1978

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That MinnieGraham Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 24, 1922

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

I am an older brother and well remember the date of my sisters birth. (Signed John F. Graham)

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