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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700207

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 23, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father John Johnson MAIDEN NAME of Mother Annie Morrison

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

Residence of Father when child was born Sydney Present address of Father 63 Conaught St.

Occupation of Father at Birth of child Engineer Place of birth of Father Marion Bridge

Race Name and present address of Physician in attendance at birth Dr. W.R. McRae

Signature of Applicant John Johnson Address of Applicant 63 Conaught St. Date 02 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That John EverretJohnson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 23, 1919

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

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