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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000993

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cecil WilliamMoore Sex Male

Date of Birth May 30, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father William Joseph Moore MAIDEN NAME of Mother Theresa Jane Hatcher

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 Manager Place of birth of Father Codroy, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Cecil William Moore Address of Applicant 2844 Windsor St. Halifax Date 20 October 1982

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cecil WilliamMoore

Born at North Sydney in the County of Cape Breton

That Cecil WilliamMoore Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on May 30, 1921

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

Family knowledge and Church Records (Baptismal)

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