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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000290

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Blowers BernardYoung Sex Female

Date of Birth November 27, 1922 Place of Birth DominionCounty of Cape Breton

Name of Father Thomas G. Young MAIDEN NAME of Mother Mary A. Dauphinee

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Ingonish, Victoria

Race Name and present address of Physician in attendance at birth

Signature of Applicant Blowers Bernard Young Address of Applicant Dominion, Cape Breton Date 22 October 1962

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Blowers BernardYoung

Born at Dominion in the County of Cape Breton

That Blowers BernardYoung Whose Birth is sought to be registered was

born at Dominion Cape Breton County on November 27, 1922

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

Certificate from records of Immaculate Conception Parish, Dominion, Cape Breton

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