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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700314

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hugh BernardMcEachern Sex Male

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

Name of Father John H McEachern MAIDEN NAME of Mother Sadie McDonald

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

Residence of Father when child was born Dominion Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Inverness

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

Signature of Applicant Sadie McEachern Address of Applicant Dominion Date 13 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hugh BernardMcEachern

Born at Dominion in the County of Cape Breton

That Hugh BernardMcEachern Whose Birth is sought to be registered was

born at Dominion 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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