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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100216

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 27, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Charles Gale MAIDEN NAME of Mother Elizabeth Fricker

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

Residence of Father when child was born North Sydney, Cape Breton Co. Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Newfoundland & Labrador

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Charles Gale Address of Applicant 28 High Street, North Sydney, Cape Breton Co. Date 23 August 1983

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John CharlesGale

Born at North Sydney in the County of Cape Breton

That John CharlesGale Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on December 27, 1920

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

I am the applicant and always understood I was born on December 27, 1920 and the attached letter of certificate of Baptism which sets out that date as the date of my birth.

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