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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000878

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Julie MaryPowell Sex Female

Date of Birth February 4, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father George Powell MAIDEN NAME of Mother Jessie Rowe

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 Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Julie Mary Dolimont Address of Applicant 113 Bay Street, Sydney, Cape Breton Co., NS Date 5 November 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Julie MaryPowell

Born at Sydney in the County of Cape Breton

That Julie MaryPowell Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 4, 1923

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

This is my own birth

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