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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000264

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George RossMeloney Sex Male

Date of Birth October 11, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father George Albert Maloney MAIDEN NAME of Mother Jean Ross

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Merchant Place of birth of Father North Sydney

Race Anglo-Saxon Name and present address of Physician in attendance at birth

Signature of Applicant Jean Ross Meloney Address of Applicant View St. North Sydney Date November 4, 1958

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George RossMeloney

Born at North Sydney in the County of Cape Breton

That George RossMeloney Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 11, 1921

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

That I am his mother and have full recollection of the date of his birth. Family Record. Insurance record.

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