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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000837

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louis JosephMcCormack Sex Male

Date of Birth May 16, 1922 Place of Birth Eastern PassageCounty of Halifax

Name of Father Angus McCormack MAIDEN NAME of Mother Madeline Cleary

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 Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Louis J. McCormack Address of Applicant Eastern Passage, Halifax Date 27 March 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louis JosephMcCormack

Born at Eastern Passage in the County of Halifax

That Louis JosephMcCormack Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on May 16, 1922

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

Baptismal & marriage extract

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