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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000246

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 3, 1921 Place of Birth New AberdeenCounty of Cape Breton

Name of Father John Fredrick  James MAIDEN NAME of Mother Ida LaRoux

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

Residence of Father when child was born Glace Bay Present address of Father 12 Reservoir Ave. Glace Bay

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

Race White Name and present address of Physician in attendance at birth Dr. Fabian Bates

Signature of Applicant John F. James Address of Applicant 12 Reservoir Ave. Glace Bay Date November 18, 1957

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at New Aberdeen in the County of Cape Breton

That John FredrickJames Whose Birth is sought to be registered was

born at New Aberdeen Cape Breton County on May 3, 1921

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

I am the Father of John Fredrick James Baptism Certificate

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