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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200352

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 4, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Michael James Foley MAIDEN NAME of Mother Irene Hatter

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

Residence of Father when child was born Halifax Present address of Father 977 Barrington St.

Occupation of Father at Birth of child Sailmaker Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. George Campbell

Signature of Applicant Michael James Foley Address of Applicant 977 Barrington St. Date 17 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Foley Whose Birth is sought to be registered was

born at Halifax Halifax County on December 4, 1919

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

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