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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000884

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen FrancesMacNeil Sex Female

Date of Birth November 7, 1922 Place of Birth BoularderieCounty of Cape Breton

Name of Father Michael J. MacNeil MAIDEN NAME of Mother  MacLellan

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 Check Weighman (checker), Mine #16 Place of birth of Father Dominion, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Frances McNeil Address of Applicant 137 Main Street, Glace Bay, Cape Breton Date 25 February 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen FrancesMacNeil

Born at Boularderie in the County of Cape Breton

That Helen FrancesMacNeil Whose Birth is sought to be registered was

born at Boularderie Cape Breton County on November 7, 1922

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

Enclosed, please find certificate of birth and baptism from St. Josephs Church.

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