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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700209

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold WalterKiley Sex Male

Date of Birth November 26, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Austin Kiley MAIDEN NAME of Mother Isabella Sutherland

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

Residence of Father when child was born Sydney Present address of Father 410 Charlotte St.

Occupation of Father at Birth of child Steel worker Place of birth of Father Hazel Hill

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

Signature of Applicant Austin Kiley Address of Applicant 410 Charlotte St., Sydney Date 01 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold WalterKiley

Born at Sydney in the County of Cape Breton

That Harold WalterKiley Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 26, 1919

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

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