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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000603

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine CeciliaPenney Sex Female

Date of Birth August 26, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Patrick Penney MAIDEN NAME of Mother Mary Obeline Pottie

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

Residence of Father when child was born 14 Richmond Street, Sydney, Cape Breton Co., NS Present address of Father Deceased April 28, 1978

Occupation of Father at Birth of child Steel Worker Place of birth of Father Holyrood, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine C. Libby Address of Applicant RR #2, Marion Bridge, Cape Breton Co., NS Date 2 January 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine CeciliaPenney

Born at Sydney in the County of Cape Breton

That Catherine CeciliaPenney Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 26, 1924

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

A certificate of Baptism from the Holy Redeemer Church, Sydney, NS

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