Male Birth Registration: Year: 1920 number: 99000865
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000865
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Lawrence ScheiloJardine Sex Male
Date of Birth May 24, 1920 Place of Birth Leitches CreekCounty of Cape Breton
Name of Father James Robert Jardine MAIDEN NAME of Mother Mary Ann MacDonald
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Leitches Creek Present address of Father deceased
Occupation of Father at Birth of child farmer Place of birth of Father Little Pond
Race Name and present address of Physician in attendance at birth
Signature of Applicant Lawrence S. Jardine Address of Applicant Sydney Date September 27, 1977
Relationship of Applicant to child self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Lawrence ScheiloJardine
Born at Leitches Creek in the County of Cape Breton
That Lawrence ScheiloJardine Whose Birth is sought to be registered was
born at Leitches Creek Cape Breton County on May 24, 1920
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Church records
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=398547
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