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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000729

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eliza EdenaJessome Sex Female

Date of Birth July 13, 1922 Place of Birth Georges RiverCounty of Cape Breton

Name of Father Daniel O'Connell Jessome MAIDEN NAME of Mother Mary Magdalen Harrietha

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

Residence of Father when child was born Georges River, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Bras d'Or, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Eliza Edna Finney Address of Applicant Georges River, Cape Breton Date 11 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eliza EdenaJessome

Born at Georges River in the County of Cape Breton

That Eliza EdenaJessome Whose Birth is sought to be registered was

born at Georges River Cape Breton County on July 13, 1922

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

Baptismal certificate attached and marked "A"

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