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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100010

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph MartinPickup Sex Male

Date of Birth November 15, 1922 Place of Birth Dominion No. 4County of Cape Breton

Name of Father Alfred Pickup MAIDEN NAME of Mother Margaret MacIntyre

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Casey (nee: Pickup) Address of Applicant 268 Bayview Court, Mitchell Avenue, Dominion, Cape Breton, B0A 1E0 Date 26 March 1985

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph MartinPickup

Born at Dominion No. 4 in the County of Cape Breton

That Joseph MartinPickup Whose Birth is sought to be registered was

born at Dominion No. 4 Cape Breton County on November 15, 1922

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

Joseph Martin Pickup is my brother - being my mothers son, (Margaret Pickup) and father (Alfred Pickup)

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