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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000119

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nelson ErnestBlakeburn Sex Male

Date of Birth August 25, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father John Thomas Blackburn MAIDEN NAME of Mother Annie Richards Wilson

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

Residence of Father when child was born 138 Vulcan Avenue, Sydney, Cape Breton Co. Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Channel, Newfoundland and Labrador

Race English Name and present address of Physician in attendance at birth Dr. Walter Cowperwaith

Signature of Applicant Grace Blakeburn Address of Applicant 113 Victoria Road, Sydney Date 2 June 1949

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nelson ErnestBlakeburn

Born at Sydney in the County of Cape Breton

That Nelson ErnestBlakeburn Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 25, 1920

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

Being an older sister and present in the home at the time of birth, I can truthfully state that Nelson Ernest Blakeburn was born August 25, 1920. (Certificate from School records attached)

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