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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000866

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 20, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Hareguy MAIDEN NAME of Mother Mary MacQueen

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father St. Pierre et Miquelon

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Hareguy Address of Applicant Sydney Date October 1, 1977

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph John Hareguy

Born at Sydney in the County of Cape Breton

That Joseph John Hareguy Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 20, 1920

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

This is my own birth

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