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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000900

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary Margaret ViolaRoach Sex Female

Date of Birth February 26, 1923 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Joseph Roach MAIDEN NAME of Mother Olive Chiasson

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

Residence of Father when child was born King Street Sydney Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Inverness, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Viola Pottie Address of Applicant 5 Cavendish Road, Halifax, NS Date 11 July 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Margaret ViolaRoach

Born at New Waterford in the County of Cape Breton

That Mary Margaret ViolaRoach Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on February 26, 1923

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

Certificate of baptism

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