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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000714

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 13, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Patrick Hayes MAIDEN NAME of Mother Elizabeth Donohue

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Harbour Grace, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ronald Hayes Address of Applicant 81 Cultra Sq. Scarborough, Ontario Date November 7, 1977

Relationship of Applicant to child Myself

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That RonaldHayes Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 13, 1921

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

Certificate of Birth and Baptism from St. John the Baptist Parish Glace Bay N.S. Canada Original Copy Attached

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