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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000170

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold RoyMacNeil Sex Male

Date of Birth November 3, 1922 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Daniel Neil MacNeil MAIDEN NAME of Mother Josephine Flynn

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

Residence of Father when child was born Reserve Mines, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Stableman Place of birth of Father Onico, Connecticut, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold Roy MacNeil Address of Applicant Reserve, Cape Breton Date 8 September 1953

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold RoyMacNeil

Born at Reserve Mines in the County of Cape Breton

That Harold RoyMacNeil Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on November 3, 1922

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

I am his mother and recall the circumstances quite well (baptism record)

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