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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000475

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daniel JosephO'Connell Sex Male

Date of Birth March 12, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Daniel J. O'Connell MAIDEN NAME of Mother Mary Gillis

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

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

Occupation of Father at Birth of child City Treasurer, Sydney Place of birth of Father Sydney, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lois Duffy Address of Applicant One Sackville Place Date 17 April 1973

Relationship of Applicant to child Nil

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daniel JosephO'Connell

Born at Sydney in the County of Cape Breton

That Daniel JosephO'Connell Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 12, 1922

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

Certificate of Baptism

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