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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000687

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of May JosephineJohnston Sex Female

Date of Birth August 20, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Anthony Johnston MAIDEN NAME of Mother Florence May Sutherland

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 Deceased

Occupation of Father at Birth of child Clerk with Eastern Light & Power Place of birth of Father Red Islands, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Josephine Johnston Cipak Address of Applicant RR #4, Grand Lake Road, Cape Breton Co., NS Date 17 January 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of May JosephineJohnston

Born at Sydney in the County of Cape Breton

That May JosephineJohnston Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 20, 1923

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

That I was advised by my parents that I was born at Sydney, NS on August 20, 1923 and throughout my lifetime I have celebrated the anniversary of my birth on that date. Also, the certificate of baptism hereto attached indicates my date of birth as being August 20, 1923.

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