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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000598

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph AloysiusRoach Sex Male

Date of Birth June 21, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Patrick Roach MAIDEN NAME of Mother Julia Gallivan

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

Residence of Father when child was born Glace Bay, Cape Breton Co. Present address of Father deceased

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

Race French Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Joseph Aloysius Roach Address of Applicant New Waterford, Cape Breton Co. Date 21 June 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph AloysiusRoach

Born at Glace Bay in the County of Cape Breton

That Joseph AloysiusRoach Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 21, 1920

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

I am Joseph Aloysius Roach, M.D. and I have always accepted the date of June 21, 1920 as the date of my birth. This said date was used by me on my First Communion, when I entered school, Confirmation, College entrance and graduation

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