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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000790

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Walter BernardAndrews Sex Male

Date of Birth July 27, 1920 Place of Birth DominionCounty of Cape Breton

Name of Father John Tommas Andrews MAIDEN NAME of Mother Annie Mae Dunn

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

Residence of Father when child was born Dominion Present address of Father dead

Occupation of Father at Birth of child Blacksmith Place of birth of Father Gardner Mines

Race Name and present address of Physician in attendance at birth

Signature of Applicant Walter B. Andrews Address of Applicant 336 Dalhousie St. Date June 17, 1976

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Walter BernardAndrews

Born at Dominion in the County of Cape Breton

That Walter BernardAndrews Whose Birth is sought to be registered was

born at Dominion Cape Breton County on July 27, 1920

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

By the certificate of baptism hereto attached. By the fact that my parents always celebrated my birthday on this date.

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