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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000792

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James CarrolWhite Sex Male

Date of Birth November 26, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father James White MAIDEN NAME of Mother Elizabeth White

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Brenda M. Farrell Address of Applicant New Minas Date 14 February 1979

Relationship of Applicant to child Neice

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James CarrolWhite

Born at North Sydney in the County of Cape Breton

That James CarrolWhite Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on November 26, 1921

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

Certificate of Brith and Baptism from St. Josephs Parish dated 21 December 1978

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