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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100026

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis RobertLong Sex Male

Date of Birth February 2, 1922 Place of Birth North SydneyCounty of Cape Breton

Name of Father thomas Long MAIDEN NAME of Mother Millie White

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

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

Occupation of Father at Birth of child Cook Place of birth of Father North Sydney, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Francis Robert Long Address of Applicant 815 Mill Street, Montreal, Quebec Date 5 September 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis RobertLong

Born at North Sydney in the County of Cape Breton

That Francis RobertLong Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on February 2, 1922

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

Not registered at Halifax Office at time of birth but I have in hand a document of proof that he was baptized February 5, 1922 in St. Josephs Parish, North Sydney. Document mentioned states date and place of birth. Refer to enclosed document.

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