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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000046

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis MargueriteMoore Sex Female

Date of Birth October 1, 1924 Place of Birth North SydneyCounty of Cape Breton

Name of Father Hudson Moore MAIDEN NAME of Mother Jessie Demings

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

Residence of Father when child was born North Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Stone Mason Place of birth of Father Parrsboro, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie Moore Address of Applicant North Sydney, Cape Breton Co., NS Date 24 June 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis MargueriteMoore

Born at North Sydney in the County of Cape Breton

That Phyllis MargueriteMoore Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 1, 1924

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

I am the mother of the said Phyllis Marguerite Moore and have personal knowledge of the facts set forth

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