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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200378

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis JosephEgan Sex Male

Date of Birth December 10, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Gerald Francis Egan MAIDEN NAME of Mother Aileen Elizabeth O'Hearn

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

Residence of Father when child was born Halifax Present address of Father 166 Windsor St.

Occupation of Father at Birth of child Electrical contractor Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. C.S. Morton

Signature of Applicant Gerald Francis Egan Address of Applicant 166 Windsor 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 Francis JosephEgan

Born at Halifax in the County of Halifax

That Francis JosephEgan Whose Birth is sought to be registered was

born at Halifax Halifax County on December 10, 1919

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

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