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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000064

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis MichaelWilliams Sex Male

Date of Birth October 12, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Matthew Williams MAIDEN NAME of Mother Margaret McEachern

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Town Foreman Place of birth of Father Louisbourg, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Margaret Williams Address of Applicant 12 Murphy Street, Glace Bay, Cape Breton Co., NS Date 2 October 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis MichaelWilliams

Born at Glace Bay in the County of Cape Breton

That Francis MichaelWilliams Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 12, 1923

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

I am the mother of the said Francis Michael Williams and have knowledge of the fact herin deposed of

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