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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600333

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March , 1923 Place of Birth North SydneyCounty of Cape Breton

Name of Father William Henry Stone MAIDEN NAME of Mother Marcella Mary Coffiers

Residence of Father when child was born North Sydney, Cape Breton Co., NS Present address of Father North Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Electrician Place of birth of Father North Sydney, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant W. H. Stone Address of Applicant North Sydney, Cape Breton Co., NS Date 1 September 1934

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That Edward NeilStone Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on March , 1923

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

The facts herein stated are correct

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