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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100162

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold ThomasO'Keefe Sex Male

Date of Birth June 7, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Matthew O'Keefe MAIDEN NAME of Mother Annie Fitzpatrick

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 Dominion Steel Plant Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold O'Keefe Address of Applicant 87 Brookland St. Glace Bay Date 25 March 1986

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold ThomasO'Keefe

Born at Sydney in the County of Cape Breton

That Harold ThomasO'Keefe Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 7, 1921

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

Census Report - Statistics Canada, 286-00006 Certificate of Birth and Baptism, Holy Redeemer Church, Sydney, DOB. 7/6/21 Letter from C.B. District School Board stating attended school at age 7 yr. 23 days on June 30/27

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