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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700578

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John RaymondPero Sex Male

Date of Birth October 4, 1919 Place of Birth FlorenceCounty of Cape Breton

Name of Father John Pero MAIDEN NAME of Mother Rebecca Martha Baner

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

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

Occupation of Father at Birth of child Mechanic Place of birth of Father Sydney Mines

Race Name and present address of Physician in attendance at birth Dr. William T. McKeough

Signature of Applicant John Pero Address of Applicant Florence Date 16 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John RaymondPero

Born at Florence in the County of Cape Breton

That John RaymondPero Whose Birth is sought to be registered was

born at Florence Cape Breton County on October 4, 1919

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

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