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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000277

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold ThomasO'Keefe Sex Male

Date of Birth June 7, 1921 Place of Birth Whitney PierCounty of Cape Breton

Name of Father Matthew O'Keefe MAIDEN NAME of Mother Ann Fitzpatrick

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

Residence of Father when child was born Whitney Pier Present address of Father deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Newfoundland

Race Irish Name and present address of Physician in attendance at birth Dr. McRae

Signature of Applicant Harold Thomas O'Keefe Address of Applicant 62 North St. Glace Bay Date May 19, 1960

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold ThomasO'Keefe

Born at Whitney Pier in the County of Cape Breton

That Harold ThomasO'Keefe Whose Birth is sought to be registered was

born at Whitney Pier Cape Breton County on June 7, 1921

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

It is the date shown on the Certificate of Baptism containing extract from the records of Holy Redeemer Church, Whitney Pier, Sydney, dated August 26, 1957, and attached herewith.

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