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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000319

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of TheodoreHatcher Sex Male

Date of Birth December 9, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Theodore Hatcher MAIDEN NAME of Mother Amelia Hamilton

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

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

Occupation of Father at Birth of child Machinist Place of birth of Father Rose Blach, Newfoundland

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

Signature of Applicant Theodore Hatcher Address of Applicant 47 Pleasant St. North Sydney Date August 17, 1963

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of TheodoreHatcher

Born at North Sydney in the County of Cape Breton

That TheodoreHatcher Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on December 9, 1921

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

Record as entered in family bible at time of birth, also from entry in church registry. (St Matthew Wesley United church North Sydney N.S.) Baptismal Certificate herewith attached

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