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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000400

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary FrancesCaufield Sex Female

Date of Birth January 12, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Leo Maurice Caufield MAIDEN NAME of Mother Anne Hines

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

Residence of Father when child was born MacLeod Street Sydney Cape Breton Co. Ns Present address of Father 45 Harrison Avenue, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Rigger - Dominion Iron & Steel Place of birth of Father Bonavista, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Frances MacNeill Address of Applicant 428 St. Peters Road, Sydney, Cape Breton Co., NS Date 26 January 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary FrancesCaufield

Born at Sydney in the County of Cape Breton

That Mary FrancesCaufield Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 12, 1923

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

I am the father of Mary Frances Caufield and remember her birth.

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