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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100120

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 30, 1922 Place of Birth Point AconiCounty of Cape Breton

Name of Father Peter Beaton MAIDEN NAME of Mother Annie MacIntosh

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

Residence of Father when child was born Point Aconi, Cape Breton Present address of Father

Occupation of Father at Birth of child Place of birth of Father Point Aconi, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Marguerite Kasian Address of Applicant 7835 Calla Donna Place SW, Calgary, Alberta, T2V 2R2 Date 5 February 1990

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Point Aconi in the County of Cape Breton

That Helen MargueriteBeaton Whose Birth is sought to be registered was

born at Point Aconi Cape Breton County on April 30, 1922

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

that I am the husband of the said applicant have known her and her family for the past 50 years and verily believe the birth date of April 30, 1922 shown on Baptismal certificate enclosed with this application is true.

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