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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000787

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clara AnastasiaMcAdam Sex Female

Date of Birth February 23, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Hector McAdam MAIDEN NAME of Mother Elizabeth thompson

Were the Parents married at the time of the Birth? No

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Glace Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Clara Connolly Address of Applicant 1484 Cedar Street, Oshawa, Ontario Date 2 October 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clara AnastasiaMcAdam

Born at Glace Bay in the County of Cape Breton

That Clara AnastasiaMcAdam Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 23, 1922

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

Baptismal certificate dated August 10th, 1941 contents of which state as follows: "Clara Anastasia McAdam was born on the 23rd day of February 1922 and was baptized on the 23rd day of March, 1922 in St. johns Parish, New Aberdeen, by the Rev. John Gillis". (signed Joseph D. Gillis, P.P.)

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