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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000540

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph HughMadore Sex Male

Date of Birth April 3, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Madore MAIDEN NAME of Mother Mary Campbell

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

Residence of Father when child was born 168 10th Street, Glace Bay, Cape Breton Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Helena Mitchell Address of Applicant 174 Wallan Road Date 9 June 1975

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph HughMadore

Born at Glace Bay in the County of Cape Breton

That Joseph HughMadore Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 3, 1922

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

That I was fourteen years of age at the time and personally witnessed the birth of Joseph Hugh Madore.

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