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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000360

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 11, 1922 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Roderick MacIntyre MAIDEN NAME of Mother Gertrude Turner

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 Inspector of Mines Place of birth of Father Not Known

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kell dunphy Address of Applicant 1561 Vernon Street, Halifax Date 9 September 1968

Relationship of Applicant to child Nephew

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That John ArthurMacIntyre Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on February 11, 1922

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

Baptismal certificate

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