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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000815

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cecilia IsabelBuffett Sex Female

Date of Birth July 7, 1922 Place of Birth New WaterfordCounty of Cape Breton

Name of Father John H. Buffett MAIDEN NAME of Mother Eliza Barbour

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 Coal miner Place of birth of Father Trinity Bay, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Cecilia Isabel Buffett Address of Applicant 14th Street, New Waterford, Cape Breton Date 16 June 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cecilia IsabelBuffett

Born at New Waterford in the County of Cape Breton

That Cecilia IsabelBuffett Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on July 7, 1922

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

My mother told me July 7, 1922 was the day I was born - I have used this date all of my life - for school purposes and employment purposes. to further corroborate, please see my birth certificate attached.

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