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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700501

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Patrick BenedictCox Sex Male

Date of Birth March 17, 1923 Place of Birth North SydneyCounty of Cape Breton

Name of Father William Cox MAIDEN NAME of Mother Eunice MacInnis

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 Foreman Place of birth of Father Florence, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Eunice Cox Address of Applicant Prince Street, North Sydney, Cape Breton Co., NS Date 13 August 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Patrick BenedictCox

Born at North Sydney in the County of Cape Breton

That Patrick BenedictCox Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on March 17, 1923

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

Because I am the mother of the said Patrick Benedict Cox and recall the date of his birth.

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