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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000155

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry KevinLockman Sex Male

Date of Birth June 17, 1922 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Henry Lockman MAIDEN NAME of Mother Sarah Egan

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

Residence of Father when child was born Sydney Mines, Cape Breton Present address of Father Lockman Street, Sydney Mines, Cape Breton

Occupation of Father at Birth of child Coal Miner Place of birth of Father Sydney Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Henry Kevin Lockman Address of Applicant 537 5th Avenue, Niagara Falls, Ontario Date 19 February 1953

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry KevinLockman

Born at Sydney Mines in the County of Cape Breton

That Henry KevinLockman Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on June 17, 1922

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

Record of certificate of baptism was issued at the Immaculate Conception Parish, Sydney Mines, quote as follows: "Henry Kevin, issue of Henry Lockman and Sarah Egan, was born in Sydney Mines on June 17th, 1922 and baptized in this church on June 25, 1922 by Rev. C. F. MacKinnon, P.P., sponsors Joseph Egan and Mrs. Bernadette Egan". The above is a true copy of the records of this church. Given on May 9th, 1943, M. J. McSween, C.C. Priest.

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