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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000061

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JosephReynolds Sex Male

Date of Birth August 15, 1922 Place of Birth BridgeportCounty of Cape Breton

Name of Father Harry Roynolds MAIDEN NAME of Mother Mary Elizabeth McLean

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

Residence of Father when child was born Bridgeport, Glace Bay, Cape Breton Present address of Father New Aberdeen, Cape Breton

Occupation of Father at Birth of child Overman, Dominion Coal Ltd. Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Joseph Reynolds Address of Applicant 383 School Street, New Aberdeen, Cape Breton Date 10 March 1948

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JosephReynolds

Born at Bridgeport in the County of Cape Breton

That John JosephReynolds Whose Birth is sought to be registered was

born at Bridgeport Cape Breton County on August 15, 1922

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

Baptism record at Immaculate Conception Church, Bridgeport. Certificate of Baptism attached

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