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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000748

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ronald JosephMacNeil Sex Male

Date of Birth October 14, 1922 Place of Birth DominionCounty of Cape Breton

Name of Father Alexander N. MacNeil MAIDEN NAME of Mother Catherine Ann MacKenzie

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

Residence of Father when child was born Dominion, Cape Breton Present address of Father 10 Kings Road, Dominion, Cape Breton

Occupation of Father at Birth of child Coal Miner Place of birth of Father Pipers Cove, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ronald Joseph MacNeil Address of Applicant 10 Cedar Terrace, Antigonish Date 28 March 1978

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ronald JosephMacNeil

Born at Dominion in the County of Cape Breton

That Ronald JosephMacNeil Whose Birth is sought to be registered was

born at Dominion Cape Breton County on October 14, 1922

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

Baptismal certificate from Immaculate Conception Parish, Bridgeport, Cape Breton

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