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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800221

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine AliceGraham Sex Female

Date of Birth December 17, 1921 Place of Birth FlorenceCounty of Cape Breton

Name of Father Thomas William Graham MAIDEN NAME of Mother Mabel Bell

Residence of Father when child was born Florence, Cape Breton Co., NS Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mabel Graham Address of Applicant 261 Waterloo Ave. Guelph, Ontario Date July 19, 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine AliceGraham

Born at Florence in the County of Cape Breton

That Catherine AliceGraham Whose Birth is sought to be registered was

born at Florence Cape Breton County on December 17, 1921

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

Catherine Alice Graham is my own daughter

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