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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700024

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 13, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas Gray MAIDEN NAME of Mother Elizabeth Hughes

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

Residence of Father when child was born Sydney Present address of Father 56 Ashley Rd.

Occupation of Father at Birth of child Steelworker Place of birth of Father England

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

Signature of Applicant Thomas Grey Address of Applicant 56 Ashley Rd., Sydney Date 14 May 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That JamesGray Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 13, 1919

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

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