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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000165

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edward ThomasMullins Sex Male

Date of Birth October 13, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Paul Edward Mullins MAIDEN NAME of Mother Edith Jeans

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

Residence of Father when child was born Sherbrook Street Glace Bay Cape Breton Co. Ns Present address of Father 17 Sherbrook Street, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Coal Miner Place of birth of Father Bateston, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edith Jeans Mullins Address of Applicant 17 Sherbrook Street, Glace Bay, Cape Breton Co., NS Date 16 May 1953

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edward ThomasMullins

Born at Glace Bay in the County of Cape Breton

That Edward ThomasMullins Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 13, 1923

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

1. I am his mother 2. I am attaching hereto certificate of baptism and birth from the records of St. Ann's Parish, Glace Bay, Cape Breton Co., NS

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