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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000022

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of PhyllisCarson Sex Female

Date of Birth September 16, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Robert Carson MAIDEN NAME of Mother Annabelle MacDonald

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

Residence of Father when child was born Sydney Cape Breton Co. Ns Present address of Father 297 Terrace Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Truck Driver Place of birth of Father Londonderry, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annabelle Carson Address of Applicant 297 Terrace Street, Sydney, Cape Breton Co., NS Date 24 September 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of PhyllisCarson

Born at Sydney in the County of Cape Breton

That PhyllisCarson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 16, 1923

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

I am her mother and well recall the date of my said daughter's birth.

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