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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401187

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George LewisMoore Sex Male

Date of Birth March 14, 1906 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Frederick Moore MAIDEN NAME of Mother Margaret McMahon

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Lancashire, England

Race white Name and present address of Physician in attendance at birth Dr. L.W. Johnstone

Signature of Applicant Mary Elizabeth Moore Address of Applicant Sydney Mines Date 26 January 1926

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George LewisMoore

Born at Sydney Mines in the County of Cape Breton

That George LewisMoore Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on March 14, 1906

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

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