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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000231

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JamesMacNeil Sex Male

Date of Birth June 25, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas Peter MacNeil MAIDEN NAME of Mother Jessie Sutherland

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

Residence of Father when child was born King Edward St. Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Carpenter Place of birth of Father Pipers Cove

Race White Name and present address of Physician in attendance at birth Dr. E.O. MacDonald

Signature of Applicant John J. MacNeil Address of Applicant 33 Rockdale Ave. Glace Bay Date November 19, 1956

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JamesMacNeil

Born at Glace Bay in the County of Cape Breton

That John JamesMacNeil Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 25, 1921

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

I am the Mother of John James MacNeil. I well remember the day and the date Baptism Certificate Hospital Certification

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