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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000844

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen RitaBurke Sex Female

Date of Birth August 2, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father George Burke MAIDEN NAME of Mother Catherine MacNeil

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 Steel Worker 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 Helen R. Martell Address of Applicant 17 Clayton Drive, Halifax, NS Date 4 January 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen RitaBurke

Born at Sydney in the County of Cape Breton

That Helen RitaBurke Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 2, 1923

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

Baptism Certificate

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