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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000589

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 7, 1923 Place of Birth Mount PleasantCounty of Cumberland

Name of Father Charles E. Mattinson MAIDEN NAME of Mother Annie Mills

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

Residence of Father when child was born Mount Pleasant Cumberland Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Worked in a Saw Mill Place of birth of Father Mount Pleasant, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank L. King Address of Applicant 23 1/2 Pleasant Street, Upper Nappan, Cumberland Co., NS Date 1 November 1976

Relationship of Applicant to child Cousin

AFFIDAVIT

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

Born at Mount Pleasant in the County of Cumberland

That Sadie IreneMattinson Whose Birth is sought to be registered was

born at Mount Pleasant Cumberland County on December 7, 1923

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

I was at the home of Charles E. Mattinson on the 7th day of December 1923 when Sadie Irene Mattinson was born and have known her since her birth.

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