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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000675

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James CloranCleary Sex Male

Date of Birth June 22, 1922 Place of Birth Eastern PassageCounty of Halifax

Name of Father Simon Cleary MAIDEN NAME of Mother emma Royea

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

Residence of Father when child was born Eastern Passage, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Eastern Passage, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wayne Whitford Address of Applicant Eastern Passage, Halifax Date 20 February 1978

Relationship of Applicant to child Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James CloranCleary

Born at Eastern Passage in the County of Halifax

That James CloranCleary Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on June 22, 1922

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

Baptismal Certificate.

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