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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000970

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 22, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father James Keough MAIDEN NAME of Mother Elizabeth Lizzie Haney

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

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anne M. Leotourneau Address of Applicant 44W Keeler Ave. Toronto, Ontario Date January 31, 1991

Relationship of Applicant to child Same person

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That AnastesiaKeough Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 22, 1924

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

I am nine years older than my sister, who is the applicant herein and the person whose birth is sought to be registered and I can remember the day she was born at home, and from that date we lived home together as sisters.

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