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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100044

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 29, 1921 Place of Birth Bras d'OrCounty of Cape Breton

Name of Father Francis Frank Cantwell MAIDEN NAME of Mother Mary Theresa McGrath

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

Residence of Father when child was born Bras d'Or Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father Bras d'Or

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence Cantwell Address of Applicant Bras d'Or Date March 1984

Relationship of Applicant to child Wife

AFFIDAVIT

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

Born at Bras d'Or in the County of Cape Breton

That James PercyCantwell Whose Birth is sought to be registered was

born at Bras d'Or Cape Breton County on October 29, 1921

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

I am his wife

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