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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000458

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William HenryMcKeigan Sex Male

Date of Birth August 22, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Malcolm McKeigan MAIDEN NAME of Mother Blanche Mercer

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

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

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 William H. McKeigan Address of Applicant 10 Parkwood Crescent, Pictou Date 4 October 1972

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William HenryMcKeigan

Born at Sydney in the County of Cape Breton

That William HenryMcKeigan Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 22, 1922

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

personal knowledge, cradle roll certificate and certificate of baptism.

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