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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000928

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Romanus William LeRoyScanlan Sex Male

Date of Birth October 24, 1921 Place of Birth PictouCounty of Pictou

Name of Father William Vincent Scanlan MAIDEN NAME of Mother Lucilla Lena Noel

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

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

Occupation of Father at Birth of child DOSCO Coal Pier Place of birth of Father Lower River Inhabitants

Race Name and present address of Physician in attendance at birth

Signature of Applicant George J. Neil Address of Applicant Louise Street, Pictou Date May 21, 1981

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Romanus William LeRoyScanlan

Born at Pictou in the County of Pictou

That Romanus William LeRoyScanlan Whose Birth is sought to be registered was

born at Pictou Pictou County on October 24, 1921

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

I am the uncle of Romanus Scanlan being the borther of Lena Scanlan (deceased) and I am 75 years of age born March 16th 1906 and I recall the events surrounding the birth of the said Romanus Scanlan and his date of birth

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