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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600275

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DanielWeeks Sex Male

Date of Birth January 13, 1920 Place of Birth New AberdeenCounty of Cape Breton

Name of Father Charles Weeks MAIDEN NAME of Mother Mary A. Nicholson

Residence of Father when child was born New Aberdeen, Glace Bay, Cape Breton Co. Present address of Father New Aberdeen, Glace Bay, Cape Breton Co.

Occupation of Father at Birth of child Miner Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth M. T. Sullivan, Glace Bay, Cape Breton Co.

Signature of Applicant Charles Weeks Address of Applicant New Aberdeen, Glace Bay, Cape Breton Co. Date 17 December 1934

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at New Aberdeen in the County of Cape Breton

That DanielWeeks Whose Birth is sought to be registered was

born at New Aberdeen Cape Breton County on January 13, 1920

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

That I am his father

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