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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000712

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph HarryMonton Sex Male

Date of Birth September 18, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father William Bailley Monton MAIDEN NAME of Mother Emelie Alain

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

Residence of Father when child was born 33 Lingan Road Sydney Present address of Father 915 Tittley, La Salle, Quebec

Occupation of Father at Birth of child Steel Worker Place of birth of Father Czernowitz, Romania

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Harry monton Address of Applicant 1904 St. Joseph Lachine, Quebec Date October 14, 1977

Relationship of Applicant to child Myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph HarryMonton

Born at Sydney in the County of Cape Breton

That Joseph HarryMonton Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 18, 1921

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

I was under the belief at time of birth of said child Doctor Calder was to register the child which seemingly was not done.

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