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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000117

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon FrancisStewart Sex Male

Date of Birth April 2, 1922 Place of Birth DominionCounty of Cape Breton

Name of Father Wilfred Laurier Steward MAIDEN NAME of Mother Christina Ann McPhee

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father 10 Dorchester Street, Glace Bay, Cape Breton

Occupation of Father at Birth of child Coal Miner Place of birth of Father Port Morien, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wilfred L. Stewart Address of Applicant 110 Dorchester Street, Glace Bay, Cape Breton Date 14 February 1951

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon FrancisStewart

Born at Dominion in the County of Cape Breton

That Gordon FrancisStewart Whose Birth is sought to be registered was

born at Dominion Cape Breton County on April 2, 1922

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

Certificate of birth and baptism attached

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