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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700275

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 24, 1919 Place of Birth North SydneyCounty of Cape Breton

Name of Father Eugene Moores MAIDEN NAME of Mother Winnie Pearl Way

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

Residence of Father when child was born North Sydney Present address of Father 68 Margaret St.

Occupation of Father at Birth of child Ship's carpenter Place of birth of Father Newfoundland

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

Signature of Applicant Eugene Moores Address of Applicant 68 Margaret St., North Sydney Date 10 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That Harold GordonMoores Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on November 24, 1919

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

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