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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000522

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas Bernard Hawley Sex Male

Date of Birth December 27, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Thomas Muggah Hawley MAIDEN NAME of Mother Mary Oliver

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

Residence of Father when child was born New Waterford Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Ingonish

Race White Name and present address of Physician in attendance at birth Dr. David J. Hartigan

Signature of Applicant Mary Hawley Address of Applicant New Waterford Date August 31, 1970

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas Bernard Hawley

Born at New Waterford in the County of Cape Breton

That Thomas Bernard Hawley Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on December 27, 1920

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

I am the mother of the said Thomas Bernard Hawley and I have personal knowledge of those facts.

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