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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700966

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion eileenRussell Sex Female

Date of Birth May 26, 1923 Place of Birth North SydneyCounty of Cape Breton

Name of Father Frederick Ernest Russell MAIDEN NAME of Mother Annie Miller

Residence of Father when child was born North Sydney, Cape Breton Co., NS Present address of Father North Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Annie Russell Address of Applicant Emerald Street, North Sydney, Cape Breton Co., NS Date 24 January 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion eileenRussell

Born at North Sydney in the County of Cape Breton

That Marion eileenRussell Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on May 26, 1923

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

I am the mother of the said Marion Eileen Russell and have personal knowledge of the facts herein declared

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