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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000784

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice ElizabethDawson Sex Female

Date of Birth December 31, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father William Joseph Dawson MAIDEN NAME of Mother mary Basque

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

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

Occupation of Father at Birth of child Steel Worker Place of birth of Father Bay Roberts, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alice Elizabeth Hooper Address of Applicant 461 Atlantic Street, Sydney, Cape Breton Date 18 November 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice ElizabethDawson

Born at Sydney in the County of Cape Breton

That Alice ElizabethDawson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 31, 1922

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

The baptism certificate which has been retained by Registrar General of Nova Scotia

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