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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000155

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 18, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father   MAIDEN NAME of Mother Mary Buchanan

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Russell Buchanan Address of Applicant Grand Lake Rd. Sydney Date January 2, 1952

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That Joseph RussellBuchanan Whose Birth is sought to be registered was

born at New Glasgow Pictou County on December 18, 1921

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

by records available and in my custody of St. Mary's Home, Sydney, Cape Breton, whose successor is Mercy Hospital, Sydney, Nova Scotia

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