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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000608

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AlfredJardine Sex Male

Date of Birth July 3, 1922 Place of Birth Leitches CreekCounty of Cape Breton

Name of Father James Robert Jardine MAIDEN NAME of Mother Mary Ann MacDonald

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant A. Myrtle Walton Address of Applicant Leitches Creek, Cape Breton Date 25 November 1976

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AlfredJardine

Born at Leitches Creek in the County of Cape Breton

That AlfredJardine Whose Birth is sought to be registered was

born at Leitches Creek Cape Breton County on July 3, 1922

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

I remember his 5th birthday being celebrated on 3 July 1927 and being told by my father and mother he was 5 years old.

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