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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602682

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John WilliamCassidy Sex Male

Date of Birth May 13, 1920 Place of Birth East Ship HarbourCounty of Halifax

Name of Father Thomas Cassidy MAIDEN NAME of Mother Margaret Lavinia Murphy

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

Residence of Father when child was born Dorchester, Massachusetts, USA Present address of Father 2 Main Street, Wakefield, Massachusetts

Occupation of Father at Birth of child Painter Place of birth of Father England

Race Irish Name and present address of Physician in attendance at birth R. H. Stoddard, Halifax

Signature of Applicant Margaret Lavinia Cassidy Address of Applicant 2 Main Street, Wakefield, Massachusetts Date 4 July 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John WilliamCassidy

Born at East Ship Harbour in the County of Halifax

That John WilliamCassidy Whose Birth is sought to be registered was

born at East Ship Harbour Halifax County on May 13, 1920

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

I am the mother of John William Cassidy

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