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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000428

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick EarleMcCarthy Sex Male

Date of Birth April 18, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Frederick Earle McCarthy MAIDEN NAME of Mother Alice W. Cranage

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

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Printer Place of birth of Father Wentworth Valley, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frederick E. McCarthy Address of Applicant 2068 Pitt Street, Cornwall, Ontario Date 18 August 1971

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick EarleMcCarthy

Born at Halifax in the County of Halifax

That Frederick EarleMcCarthy Whose Birth is sought to be registered was

born at Halifax Halifax County on April 18, 1922

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

I have always celebrated my birthday on the 18th of April

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