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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000664

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen LorettaBrennick Sex Female

Date of Birth August 4, 1924 Place of Birth Bras D'OrCounty of Victoria

Name of Father Michael Brennick MAIDEN NAME of Mother Ellen Cantwell

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

Residence of Father when child was born Bras d'Or, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Loretta Deveson Address of Applicant PO Box 115, Louisbourg, Cape Breton Co., NS Date 20 March 1980

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen LorettaBrennick

Born at Bras D'Or in the County of Victoria

That Helen LorettaBrennick Whose Birth is sought to be registered was

born at Bras D'Or Victoria County on August 4, 1924

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

I am the said Helen Loretta Brennick (now Helen Loretta Deveson) and I always understood I was born on August 4, 1924and celebrated my birthday on that date. Also, I attached a certificate of Baptism which also states that was by date of birth

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