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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000175

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 19, 1922 Place of Birth New GlasgowCounty of Pictou

Name of Father William Hayward Curnew MAIDEN NAME of Mother Jessie Christena Forbes

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

Residence of Father when child was born New Glasgow, Pictou Present address of Father Burlington

Occupation of Father at Birth of child Coal Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant William H. Curnew Address of Applicant Burlington Date 1 January 1954

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That John WilliamCurnew Whose Birth is sought to be registered was

born at New Glasgow Pictou County on September 19, 1922

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

My wife was delivered by caesarean birth with Dr. McKay and Dr. Love in attendance

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