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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100028

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James PatrickCasey Sex Male

Date of Birth March 1, 1920 Place of Birth CansoCounty of Guysborough

Name of Father Dennis Casey MAIDEN NAME of Mother Eva DeGruchy

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

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

Occupation of Father at Birth of child woodsman Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. John Pitts Address of Applicant New Glasgow Date October 16, 1979

Relationship of Applicant to child Cousin

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James PatrickCasey

Born at Canso in the County of Guysborough

That James PatrickCasey Whose Birth is sought to be registered was

born at Canso Guysborough County on March 1, 1920

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

Baptismal

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