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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000067

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daniel JosephLewis Sex Male

Date of Birth August 2, 1923 Place of Birth Glace Bay, Dominion No. 4County of Cape Breton

Name of Father Seymour Hammond Lewis MAIDEN NAME of Mother Mary Beaton

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 Painter with Dominion Coal Company Place of birth of Father Coxheath, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant D. J. Lewis Address of Applicant 435 Wellesley Street, Toronto, Ontario Date 27 April 1948

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daniel JosephLewis

Born at Glace Bay, Dominion No. 4 in the County of Cape Breton

That Daniel JosephLewis Whose Birth is sought to be registered was

born at Glace Bay, Dominion No. 4 Cape Breton County on August 2, 1923

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

That I am an elder sister of Daniel Joseph Lewis being thirteen years his senior and we have always celebrated his birthday on August 2 and remember the date of his birth at St. Joseph's Hospital and it was also common family knowledge. See Certificate of Baptism.

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