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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700188

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James HarveyRice Sex Male

Date of Birth November 15, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Wallace W Rice MAIDEN NAME of Mother Dollina McFarlane

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Baddeck

Race Name and present address of Physician in attendance at birth Dr. J.F. Macaulay

Signature of Applicant Wallace W. Rice Address of Applicant Sydney Date 12 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James HarveyRice

Born at Sydney in the County of Cape Breton

That James HarveyRice Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 15, 1919

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

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