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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000979

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie MaeSlattery Sex Female

Date of Birth April 26, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father John James Slattery MAIDEN NAME of Mother Florence Ann Donohue

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 Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant A.M. Cameron Address of Applicant 39 Cockburn St. New Waterford Date June 22, 1994

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie MaeSlattery

Born at Sydney in the County of Cape Breton

That Annie MaeSlattery Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 26, 1924

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

That I am the applicant named above and I have all my life always regarded April 26, 1924 as my birthdate and in addition, my Baptismal Certificate confirms my birthdate.

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