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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000710

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Neil AugustineLong Sex Male

Date of Birth November 15, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Thomas Long MAIDEN NAME of Mother Millie  White

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 Chief Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ramona Ross Address of Applicant Halifax Date November 28, 1974

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Neil AugustineLong

Born at North Sydney in the County of Cape Breton

That Neil AugustineLong Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on November 15, 1920

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

Certificate of Baptism

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