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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000736

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of BernettaYoung Sex Female

Date of Birth March 17, 1924 Place of Birth Gannon RoadCounty of Cape Breton

Name of Father John Young MAIDEN NAME of Mother Anne B. Boutilier

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Bras d'Or, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bernette Cummings Address of Applicant 49 Maple Street, Stellarton, Pictou Co., NS Date 23 January 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of BernettaYoung

Born at Gannon Road in the County of Cape Breton

That BernettaYoung Whose Birth is sought to be registered was

born at Gannon Road Cape Breton County on March 17, 1924

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

Record of Baptism

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