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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100102

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EarlBurke Sex Male

Date of Birth October 14, 1922 Place of Birth New VictoriaCounty of Cape Breton

Name of Father Joseph Burke MAIDEN NAME of Mother Mary Tighe

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

Residence of Father when child was born New Victoria, Cape Breton Present address of Father Nova Scotia

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Earl Burke Address of Applicant 101 Emerald Street Date 29 July 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EarlBurke

Born at New Victoria in the County of Cape Breton

That EarlBurke Whose Birth is sought to be registered was

born at New Victoria Cape Breton County on October 14, 1922

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

I do remember this mans birthday because I was married the same year. (signed John Freeman Tighe)

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