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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100036

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edward LeonButts Sex Male

Date of Birth August 1, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father John A. Butts MAIDEN NAME of Mother Mary Dora Cadegan

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

Residence of Father when child was born 388 Main Street, Glace Bay Present address of Father Deceased

Occupation of Father at Birth of child Engineer Place of birth of Father Sydney Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edward L. Butts Address of Applicant 388 Main Street, Glace Bay Date 10 March 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edward LeonButts

Born at Glace Bay in the County of Cape Breton

That Edward LeonButts Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 1, 1922

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

I have enclosed a baptismal certificate issued by Rev. A. D. Campbell from the records of the Church of the Immaculate Conception Parish of Dominion, Cape Breton

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