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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700284

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of David LloydBailey Sex Male

Date of Birth November 13, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father George Frederick Bailey MAIDEN NAME of Mother Amelia Elizabeth Parsons

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

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

Occupation of Father at Birth of child Fireman Place of birth of Father England

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

Signature of Applicant George Frederick Bailey Address of Applicant Sydney Mines Date 24 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of David LloydBailey

Born at Sydney Mines in the County of Cape Breton

That David LloydBailey Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on November 13, 1919

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

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