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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700581

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 16, 1919 Place of Birth FlorenceCounty of Cape Breton

Name of Father Archie R. Dunlop MAIDEN NAME of Mother Amelia Thompson

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 Labourer Place of birth of Father Boularderie

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

Signature of Applicant Archie R. Dunlop Address of Applicant Florence Date 18 October 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Florence in the County of Cape Breton

That John ArchieDunlop Whose Birth is sought to be registered was

born at Florence Cape Breton County on October 16, 1919

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

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