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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000138

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Katherine MayClare Sex Female

Date of Birth October 29, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Walter C. Clare MAIDEN NAME of Mother Daphne Bickerton

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 1 Rink Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Stove Fitter Place of birth of Father Sackville, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Daphne Clare Address of Applicant 1 Rink Street, Sydney, Cape Breton Co., NS Date 15 October 1951

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Katherine MayClare

Born at Sydney in the County of Cape Breton

That Katherine MayClare Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 29, 1923

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

Mother of child Cradle Roll certificate

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