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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000535

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 24, 1922 Place of Birth Birch GroveCounty of Cape Breton

Name of Father John Charles Slade MAIDEN NAME of Mother Leah Beatrice Mulley

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

Residence of Father when child was born Birch Grove, Glace Bay Area, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Victoria, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leah B. Slade Address of Applicant Victoria, Cape Breton Date 22 March 1975

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Birch Grove in the County of Cape Breton

That John WilliamSlade Whose Birth is sought to be registered was

born at Birch Grove Cape Breton County on April 24, 1922

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

I am the mother of the above party concerned and have full knowledge of the facts and have records in family bible, also.

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