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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000125

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Regina BernadineHarrietha Sex Female

Date of Birth May 17, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father Andrew J. Harrietha MAIDEN NAME of Mother Lucy Murphy

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

Residence of Father when child was born Glace Bay, Cape Breton Co., NS Present address of Father 39 Reservoir Avenue, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Mechanic with Dominion Coal Co. Place of birth of Father Sydney Mines, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Andrew Harrietha Address of Applicant 39 Reservoir Avenue, Glace Bay, Cape Breton Co., NS Date 5 May 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Regina BernadineHarrietha

Born at Glace Bay in the County of Cape Breton

That Regina BernadineHarrietha Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 17, 1924

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

I am the mother of Regina Bernadine Harrietha (baptism certificate)

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