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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000077

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sadie AnnNewbury Sex Female

Date of Birth June 5, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Hinson Newbury MAIDEN NAME of Mother Annie MacLean

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

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

Occupation of Father at Birth of child Baker Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Newbury Address of Applicant 65 Cornwallis Street, Sydney, Cape Breton Co., NS Date 14 July 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sadie AnnNewbury

Born at Glace Bay in the County of Cape Breton

That Sadie AnnNewbury Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 5, 1923

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

I am the mother of child Sadie Ann Newbury

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