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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100251

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 20, 1920 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Severn A. Hache MAIDEN NAME of Mother Judith Chiasson

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

Residence of Father when child was born Reserve Mines Present address of Father deceased

Occupation of Father at Birth of child miner Place of birth of Father Cheticamp

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Devinia Close Address of Applicant 4301 Kingston Rd., Scarborough, Ontario Date 4 April 1984

Relationship of Applicant to child sister-in-law

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That John JosephHache Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on November 20, 1920

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

certificate of birth and baptism from Reserve Mines

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