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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000226

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Malcolm PiusMcPhee Sex Male

Date of Birth July 11, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Joseph McPhee MAIDEN NAME of Mother Evangeline Bourke

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 Reserve Mines, Cape Breton

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Malcolm Pius McPhee Address of Applicant 161 Station Street, Reserve Mines, Cape Breton Date 5 November 1957

Relationship of Applicant to child Self applied for

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Malcolm PiusMcPhee

Born at Glace Bay in the County of Cape Breton

That Malcolm PiusMcPhee Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 11, 1922

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

Certificate of birth and baptism

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