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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000295

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Patrick JosephHealy Sex Male

Date of Birth March 20, 1921 Place of Birth Whitney PierCounty of Cape Breton

Name of Father Patrick Healy MAIDEN NAME of Mother Annie Williams

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

Residence of Father when child was born 98 Bay St. Whitney Pier Present address of Father Brooklyn, New York, USA

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

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

Signature of Applicant Patrick Healy Sr. Address of Applicant 1151-76 St. Brooklyn, New York, USA Date March 30, 1961

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Patrick JosephHealy

Born at Whitney Pier in the County of Cape Breton

That Patrick JosephHealy Whose Birth is sought to be registered was

born at Whitney Pier Cape Breton County on March 20, 1921

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

Parental Responsibilities and Baptism records of Holy Redeemer Catholic Church at Whitney Pier, Sydney.

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