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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000278

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 8, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father George Burrows MAIDEN NAME of Mother Anne Meechan

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

Residence of Father when child was born Passchendaele, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Glace Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant John George Burrows Address of Applicant 11 Burkes Lane, Glace Bay, Cape Breton Date 16 March 1962

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That John GeorgeBurrows Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 8, 1922

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

Baptismal certificate attached

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