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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100229

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold GeorgeFarrell Sex Male

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

Name of Father Reuben S. Farrell MAIDEN NAME of Mother Phebe Ander

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 Carpenter Place of birth of Father Newfoundland & Labrador

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold George Farrell Address of Applicant 8 Gage Road Date

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold GeorgeFarrell

Born at North Sydney in the County of Cape Breton

That Harold GeorgeFarrell 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 his older sister and present at the house where he was born. He was delivered by a midwife.

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