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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100336

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JohnSnow Sex Male

Date of Birth July 4, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father John W. Snow MAIDEN NAME of Mother Lily Bradbury

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Snow Address of Applicant North Sydney Date April 8, 1985

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JohnSnow

Born at North Sydney in the County of Cape Breton

That JohnSnow Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on July 4, 1920

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

I am the applicant and have always understood I was born on July 4, 1920 and have always used that date in all cases where my age was required. I enclosed a Dedication Certificate of the Salvation Army which confirms my birth date.

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