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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000156

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy TheresaO'Leary Sex Female

Date of Birth December 17, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael Sylvester O'Leary MAIDEN NAME of Mother Ida Khattar

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 276 Terrace Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child _____________? Place of birth of Father Sydney, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ida O'Leary Address of Applicant 276 Terrace Street, Sydney, Cape Breton Co., NS Date 19 February 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy TheresaO'Leary

Born at Sydney in the County of Cape Breton

That Dorothy TheresaO'Leary Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 17, 1923

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

Baptismal certificate attached and I am child's mother.

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