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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000635

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine EllenShaw Sex Female

Date of Birth February 8, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Shaw MAIDEN NAME of Mother Mary Anne Burke

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 Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Main-a-Dieu, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Ellen Shaw MacDonald Address of Applicant 8 Pine Street, Glace Bay, Cape Breton Co., NS Date 21 December 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine EllenShaw

Born at Glace Bay in the County of Cape Breton

That Catherine EllenShaw Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 8, 1923

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

1. Certificate of birth and baptism 2. Brother of applicant

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