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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000526

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry JamesLong Sex Male

Date of Birth May 31, 1922 Place of Birth North SydneyCounty of Cape Breton

Name of Father William Long MAIDEN NAME of Mother Ada Hanshare

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father North Sydney, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Henry James Long Address of Applicant RR #3, Keltic Drive, North Sydney, Cape Breton Date 1974

Relationship of Applicant to child Common law wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry JamesLong

Born at North Sydney in the County of Cape Breton

That Henry JamesLong Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on May 31, 1922

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

Church baptism records, St. Josephs Church, North Sydney, Cape Breton

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