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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000793

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernard StanleyO'Neil Sex Male

Date of Birth August 25, 1921 Place of Birth North West ArmCounty of Cape Breton

Name of Father Harry Marshall O'Neil MAIDEN NAME of Mother Rosie Marion Grant

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

Residence of Father when child was born North West Arm Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bernard S. O'Neil Address of Applicant 114 Bungalow Rd. Coxheath Date February 23, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernard StanleyO'Neil

Born at North West Arm in the County of Cape Breton

That Bernard StanleyO'Neil Whose Birth is sought to be registered was

born at North West Arm Cape Breton County on August 25, 1921

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

Baptismal

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