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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000101

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph IgnatiusGraham Sex Male

Date of Birth May 27, 1921 Place of Birth BridgeportCounty of Cape Breton

Name of Father William Graham MAIDEN NAME of Mother Josephine O'Neill

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

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

Occupation of Father at Birth of child Statistician Place of birth of Father Gardner Mines

Race White Name and present address of Physician in attendance at birth M.A. Thompkins

Signature of Applicant J.I. Graham Address of Applicant 337 Huran St. Toronto, Ontario Date October 21, 1948

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph IgnatiusGraham

Born at Bridgeport in the County of Cape Breton

That Joseph IgnatiusGraham Whose Birth is sought to be registered was

born at Bridgeport Cape Breton County on May 27, 1921

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

Certificate of Baptism attached

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