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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000812

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Albert JosephDalton Sex Male

Date of Birth May 19, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Ronald Dalton MAIDEN NAME of Mother Margaret Campbell

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Albert Joseph Dalton Address of Applicant 138 Cabot St. Sydney Date March 22, 1979

Relationship of Applicant to child Does not apply

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Albert JosephDalton

Born at Sydney in the County of Cape Breton

That Albert JosephDalton Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 19, 1921

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

Certificate of Baptism - Holy Redeemer Church Sydney

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