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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000671

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roberta FrancisCorbett Sex Female

Date of Birth January 29, 1922 Place of Birth New WaterfordCounty of Cape Breton

Name of Father David Corbett MAIDEN NAME of Mother Shara McCarthy

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

Residence of Father when child was born New Waterford, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Reserve, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roberta Frances McNeil Address of Applicant 694 Mahone Street, New Waterford, Cape Breton Date 1 February 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roberta FrancisCorbett

Born at New Waterford in the County of Cape Breton

That Roberta FrancisCorbett Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on January 29, 1922

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

Information from Mr. & Mrs. McNeil

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