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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000210

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William BarthlomewColeman Sex Male

Date of Birth May 23, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Coleman MAIDEN NAME of Mother Mary Lucy Jesso

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Little Bay, Newfoundland

Race English Name and present address of Physician in attendance at birth Dr. Sullivan

Signature of Applicant W. Coleman Address of Applicant Halifax Date April 5, 1955

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William BarthlomewColeman

Born at Glace Bay in the County of Cape Breton

That William BarthlomewColeman Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 23, 1921

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

As per attached Certificate of Baptism from St. Anne's Parish, Glace Bay, Nova Scotia dated January 26th, 1942 and attested by Rev. E.J. Nash to be a true copy from the baptismal records of St. Anne's Parish.

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