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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000092

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas AugustineRogers Sex Male

Date of Birth July 18, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas Rogers MAIDEN NAME of Mother Mary McInnis

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

Residence of Father when child was born New Aberdeen Glace Bay Cape Breton Co. Ns Present address of Father New Aberdeen, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Reserve Mines, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thomas Rogers Address of Applicant 419 3rd Street, New Aberdeen, Glace Bay, Cape Breton Co., NS Date 13 May 1949

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas AugustineRogers

Born at Glace Bay in the County of Cape Breton

That Thomas AugustineRogers Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 18, 1923

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

I am the father of Thomas Augustine Rogers and I remember the date and place of his birth is as set and herein. (Certificate from Church records attached).

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