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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000350

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harry KennethSweeney Sex Male

Date of Birth November 18, 1920 Place of Birth SummervilleCounty of Yarmouth

Name of Father Harry Kenney Sweeney MAIDEN NAME of Mother Margaret Agnes Meeleney

Residence of Father when child was born Summerville Present address of Father Summerville

Occupation of Father at Birth of child Farmer Place of birth of Father Summerville

Race English Name and present address of Physician in attendance at birth Dr. R.O. Bethune, Berwick

Signature of Applicant Margaret Agnes Sweeney Address of Applicant Pleasant Lane, Yarmouth Date November 28, 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harry KennethSweeney

Born at Summerville in the County of Yarmouth

That Harry KennethSweeney Whose Birth is sought to be registered was

born at Summerville Yarmouth County on November 18, 1920

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

I am his mother and know the dates of the birth of my children

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