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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000921

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy CarmelLabelle Sex Female

Date of Birth June 25, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Alexander J. Labelle MAIDEN NAME of Mother Susan M. Rafferty

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father L'Ardoise, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dorothy Carmel Labelle Davies Address of Applicant 766 Foundry Street, Glace Bay, Cape Breton Date 1 December 1982

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy CarmelLabelle

Born at Glace Bay in the County of Cape Breton

That Dorothy CarmelLabelle Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 25, 1922

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

Baptismal certificate of St. Anns Parish in Glace Bay, a copy of which is attached hereto and confirmation of the date of my birth from my mother and neighbors.

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