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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900810

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Zita AlexiusMcPhee Sex Female

Date of Birth September 5, 1923 Place of Birth Passchendaele, Glace BayCounty of Cape Breton

Name of Father John J. McPhee MAIDEN NAME of Mother Ada May Roach

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

Residence of Father when child was born Passchendaele, Glace Bay, Cape Breton Co., NS Present address of Father Dead

Occupation of Father at Birth of child Surface Sawman at Dominion Coal Co. Place of birth of Father Reserve, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Ada McPhee Address of Applicant 19 Peel Street, Passchendaele, Glace Bay, Cape Breton Co., NS Date 3 December 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Zita AlexiusMcPhee

Born at Passchendaele, Glace Bay in the County of Cape Breton

That Zita AlexiusMcPhee Whose Birth is sought to be registered was

born at Passchendaele, Glace Bay Cape Breton County on September 5, 1923

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

I am her mother

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