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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501425

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael GerardHealy Sex Male

Date of Birth September 26, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Philip B. Healy MAIDEN NAME of Mother Catherine MacInnis

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

Residence of Father when child was born North Sydney, Cape Breton Co. Present address of Father North Sydney, Cape Breton Co.

Occupation of Father at Birth of child Checker with Canadian National Railway Place of birth of Father Newfoundland

Race White Name and present address of Physician in attendance at birth Dr. Thomas Smith

Signature of Applicant Mrs. Catherine Healy Address of Applicant North Sydney, Cape Breton Co. Date 5 January 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael GerardHealy

Born at North Sydney in the County of Cape Breton

That Michael GerardHealy Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on September 26, 1920

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

I am the mother of Michael Gerard Healy

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