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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000881

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Georgina CatherineSteele Sex Female

Date of Birth October 19, 1924 Place of Birth North SydneyCounty of Cape Breton

Name of Father Alexander Steele MAIDEN NAME of Mother Mary Elizabeth MacDougall

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 Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Georgina Catherine Rose Address of Applicant 80 Centre St. North Sydney Date 8 September 1987

Relationship of Applicant to child n/a

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Georgina CatherineSteele

Born at North Sydney in the County of Cape Breton

That Georgina CatherineSteele Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 19, 1924

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

1. My certificate of Baptism states this fact 2. I have been informed by my mother and so verily believe that this was the / date / of my birth

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