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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700086

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Josephine CeceliaMcEachern Sex Female

Date of Birth March 18, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael McEachern MAIDEN NAME of Mother Mary Ann McLeod

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father 341 Emmon Blvd, Wyandotte, Michigan, USA

Occupation of Father at Birth of child Carpenter Place of birth of Father French Road, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Michael McEachern Address of Applicant 341 Emmon Road, Wyandotte, Michigan, USA Date 14 November 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Josephine CeceliaMcEachern

Born at Sydney in the County of Cape Breton

That Josephine CeceliaMcEachern Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 18, 1922

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

That I was residing on Prince Street, Sydney, Cape Breton, NS and working as carpenter at the Steel Plant and I am the father of Josephine Cecelia McEachern.

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