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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000297

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eileen BernadetteBaker Sex Female

Date of Birth March 15, 1924 Place of Birth North SydneyCounty of Cape Breton

Name of Father John Baker MAIDEN NAME of Mother Emma Hare

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 Prince Edward Island

Occupation of Father at Birth of child Iron Foundry Moulder Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eileen B. Baker Address of Applicant 25522 Doncea Drive, Warren, Michigan, USA Date 4 December 1966

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eileen BernadetteBaker

Born at North Sydney in the County of Cape Breton

That Eileen BernadetteBaker Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on March 15, 1924

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

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