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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600681

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon BarronCann Sex Male

Date of Birth November 11, 1922 Place of Birth Douglas Street, SydneyCounty of Cape Breton

Name of Father William henry Cann MAIDEN NAME of Mother Katherine McDougall

Residence of Father when child was born Douglas Street, Sydney, Cape Breton Co., NS Present address of Father 421 Townsend Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Shipper, Harris Abbaton Place of birth of Father Fourchu, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gordon Barron Cann Address of Applicant 421 Townsend Street, Sydney, Cape Breton Co., NS Date 31 December 1942

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon BarronCann

Born at Douglas Street, Sydney in the County of Cape Breton

That Gordon BarronCann Whose Birth is sought to be registered was

born at Douglas Street, Sydney Cape Breton County on November 11, 1922

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

His Mother

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