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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602424

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Howard JamesO'Connor Sex Male

Date of Birth October 6, 1918 Place of Birth AmherstCounty of Cumberland

Name of Father Thomas O'Connor MAIDEN NAME of Mother Lena Cook

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

Residence of Father when child was born Amherst, Cumberland Co. Present address of Father 218 Cherry Street, Morristown, Pennsylvania

Occupation of Father at Birth of child Carpenter Place of birth of Father Massachusetts

Race White Name and present address of Physician in attendance at birth Dr. Budroll, Amherst

Signature of Applicant Lena O'Connor Address of Applicant 218 Cherry Street, Morristown, Pennsylvania Date 26 December 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Howard JamesO'Connor

Born at Amherst in the County of Cumberland

That Howard JamesO'Connor Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 6, 1918

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

I am the mother

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