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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93502008

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles EdwardMcIntyre Sex Male

Date of Birth January 14, 1906 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel Joseph McIntyre MAIDEN NAME of Mother Catherine McNeil

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Carpenter Place of birth of Father Dominion

Race white Name and present address of Physician in attendance at birth Dr. Murray Dodd

Signature of Applicant Catherine McIntyre Address of Applicant Glace Bay Date 22 March 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles EdwardMcIntyre

Born at Glace Bay in the County of Cape Breton

That Charles EdwardMcIntyre Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 14, 1906

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

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