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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000001

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James BransfieldQuirk Sex Male

Date of Birth May 23, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father James Henry Quirk MAIDEN NAME of Mother Nora Bransfield

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

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

Occupation of Father at Birth of child Merchant Place of birth of Father Sussex, New Brunswick

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

Signature of Applicant Mrs. J.H. Quirk Address of Applicant 156 Townsend St. Sydney Date April 19, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James BransfieldQuirk

Born at Sydney in the County of Cape Breton

That James BransfieldQuirk Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 23, 1921

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

I am the mother of James Bransfield Quirk. The record of birth and baptism of the said James Bransfield Quirk of the parish of the Sacred Heart in Sydney, County of Cape Breton and signed by Rev. M.E. McLaughlin.

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