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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000296

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George EdgarYvonne Sex Male

Date of Birth July 9, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Alexander Yvonne MAIDEN NAME of Mother Sadie Arsenault

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

Residence of Father when child was born Yorke Street Sydney Cape Breton Co. Ns Present address of Father 13 Havelock Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Oiler at Steel Plant Place of birth of Father L'Ardoise, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edgar E. Yvonne Address of Applicant 34 1/2 Palmerston Avenue, Sydney, Cape Breton Co., NS Date 17 April 1964

Relationship of Applicant to child Myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George EdgarYvonne

Born at Sydney in the County of Cape Breton

That George EdgarYvonne Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 9, 1923

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

Birth and baptismal record in the Baptismal Register of Sacred Heart Parish, Sydney, Cape Breton Co., NS

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