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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000663

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eva SylviaRossiter Sex Female

Date of Birth August 18, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Wilfred Rossiter MAIDEN NAME of Mother  moore

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

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Electrician Place of birth of Father Ramea, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eva Sylvia Rossiter Address of Applicant 34 Loyola Crescent, Sydney, Cape Breton Co., NS Date 8 April 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eva SylviaRossiter

Born at Sydney in the County of Cape Breton

That Eva SylviaRossiter Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 18, 1924

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

Certificate of baptism Family knowledge

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