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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000990

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John Michael JosephRedquest Sex Male

Date of Birth January 13, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Daniel Redquest MAIDEN NAME of Mother Mary MacNeil

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Iona, Victoria

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bernice (Redquest) MacDougall Address of Applicant Ingonish Beach, Victoria Date 29 October 1984

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John Michael JosephRedquest

Born at Sydney in the County of Cape Breton

That John Michael JosephRedquest Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 13, 1922

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

Enclosing drivers license as one paper as to proof of birth date

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