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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100186

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Seward GregoryAnnesty Sex Male

Date of Birth September 19, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Leonard Annesty MAIDEN NAME of Mother Joshine MacIntyre

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

Residence of Father when child was born Sydney Present address of Father n/a

Occupation of Father at Birth of child Molder Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Seward G. Annesty Address of Applicant 1505 Alexander St. Sydney Date September 19, 1986

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Seward GregoryAnnesty

Born at Sydney in the County of Cape Breton

That Seward GregoryAnnesty Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 19, 1921

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

Baptismal

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