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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000056

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerald SimonKearney Sex Male

Date of Birth July 26, 1922 Place of Birth WoodsideCounty of Halifax

Name of Father Arthur Kearney MAIDEN NAME of Mother Mary Naugle

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

Residence of Father when child was born Woodside, Dartmouth, Halifax Present address of Father Woodside, Dartmouth, Halifax

Occupation of Father at Birth of child Welder Place of birth of Father Connecticut, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Kearney Address of Applicant Woodside, Dartmouth, Halifax Date 10 May 1948

Relationship of Applicant to child His mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerald SimonKearney

Born at Woodside in the County of Halifax

That Gerald SimonKearney Whose Birth is sought to be registered was

born at Woodside Halifax County on July 26, 1922

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

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