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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000562

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emily ScreataMills Sex Female

Date of Birth November 20, 1924 Place of Birth JogginsCounty of Cumberland

Name of Father Robert MacDonald Mills MAIDEN NAME of Mother Margaret Canning

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

Residence of Father when child was born Joggins, Cumberland Co., NS Present address of Father 15 May Street, Scotchtown, New Waterford, Cape Breton Co., NS

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emily Screata Mills Address of Applicant RR #7, Watford, Ontario Date February 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emily ScreataMills

Born at Joggins in the County of Cumberland

That Emily ScreataMills Whose Birth is sought to be registered was

born at Joggins Cumberland County on November 20, 1924

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

I am her mother (natural)

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