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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100176

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold JosephThomas Sex Male

Date of Birth September 7, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father James Thomas MAIDEN NAME of Mother Maud Romain

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 Carpenter Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold J. Thomas Address of Applicant 49 Commercial Wharf, Boston, Massachusetts, USA Date June 27, 1986

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold JosephThomas

Born at North Sydney in the County of Cape Breton

That Harold JosephThomas Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on September 7, 1921

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

1) Baptismal

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