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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000149

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie AliceThomas Sex Female

Date of Birth October 5, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father George Thomas MAIDEN NAME of Mother Catherine Cameron

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 214 King Edward St. Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Policeman Place of birth of Father L'Ardoise, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Thomas Address of Applicant 214 King Edward St. Glace Bay, Cape Breton Co., NS Date 28 October 1954

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie AliceThomas

Born at Glace Bay in the County of Cape Breton

That Jessie AliceThomas Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 5, 1924

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

I am her mother

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