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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700317

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lawrence IsadoreMullins Sex Male

Date of Birth November 17, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Peter Edward Mullins MAIDEN NAME of Mother Edith Mary Jeans

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

Residence of Father when child was born Glace Bay Present address of Father Sherbrook St.

Occupation of Father at Birth of child Miner Place of birth of Father Bateston, Cape Breton

Race Name and present address of Physician in attendance at birth Dr. E.O. MacDonald

Signature of Applicant Peter Mullins Address of Applicant Sherbrook St., Glace Bay Date 28 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lawrence IsadoreMullins

Born at Glace Bay in the County of Cape Breton

That Lawrence IsadoreMullins Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 17, 1919

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

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