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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000431

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon CavellTobin Sex Male

Date of Birth July 6, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Robert  Tobin MAIDEN NAME of Mother Annie O`Hardley

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Sydney Mines

Race Anglo-saxon Name and present address of Physician in attendance at birth Dr. Tom Smith

Signature of Applicant Gordon C. Torbin Address of Applicant North Sydney Date June 23, 1966

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon CavellTobin

Born at North Sydney in the County of Cape Breton

That Gordon CavellTobin Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on July 6, 1920

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

My baptismal certificate

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