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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700189

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John MatthewWalsh Sex Male

Date of Birth November 16, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Vincent Walsh MAIDEN NAME of Mother Caroline Amelia Roach

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

Residence of Father when child was born Sydney Present address of Father 171 George St.

Occupation of Father at Birth of child Cook Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth Dr. J.B. Lynch

Signature of Applicant Caroline Amelia Walsh Address of Applicant 171 George's St., Sydney Date 06 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John MatthewWalsh

Born at Sydney in the County of Cape Breton

That John MatthewWalsh Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 16, 1919

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

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