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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000812

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

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

Name of Father Samuel Ayre MAIDEN NAME of Mother Ethel Skinner

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Channel Port Aux Basques, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Josephine George Address of Applicant 200 Shore Rd. Sydney Date November 2, 1985

Relationship of Applicant to child -

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That JosephineAyre Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 18, 1924

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

My birth was not registered with the proper provincial authorities

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