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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600369

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice MaeNega Sex Female

Date of Birth January 12, 1923 Place of Birth New Aberdeen, Glace BayCounty of Cape Breton

Name of Father Adam Nega MAIDEN NAME of Mother Margaret Dunlop

Residence of Father when child was born New Aberdeen, Glace Bay, Cape Breton Co., NS Present address of Father Bridgeport, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Warsaw, Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Margaret Nega Address of Applicant 15 Whalens Road, Dominion No. 1, Cape Breton Co., NS Date 25 August 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice MaeNega

Born at New Aberdeen, Glace Bay in the County of Cape Breton

That Alice MaeNega Whose Birth is sought to be registered was

born at New Aberdeen, Glace Bay Cape Breton County on January 12, 1923

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

I am the mother of Alice Mae Nega

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