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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000934

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daniel WilliamHowley Sex Male

Date of Birth September 17, 1922 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father John Joseph Howley MAIDEN NAME of Mother Annie Viola Brown

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

Residence of Father when child was born Reserve Mines, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Reserve Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Daniel William Howley Address of Applicant 115 Connaught Avenue, Glace Bay, Cape Breton Date 18 April 1883

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daniel WilliamHowley

Born at Reserve Mines in the County of Cape Breton

That Daniel WilliamHowley Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on September 17, 1922

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

Certificate of Baptism

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