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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000303

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph DouglasO'Neill Sex Male

Date of Birth February 26, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Charles O'Neill MAIDEN NAME of Mother Belle Smith

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

Residence of Father when child was born Ketch Harbour Halifax Co. Ns Present address of Father Ketch Harbour, Halifax Co., NS

Occupation of Father at Birth of child Plumber Place of birth of Father Ketch Harbour, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant D. J. O'Neill Address of Applicant SS Box 17, Bedford, Halifax Co., NS Date 11 May 1965

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph DouglasO'Neill

Born at Halifax in the County of Halifax

That Joseph DouglasO'Neill Whose Birth is sought to be registered was

born at Halifax Halifax County on February 26, 1923

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

Baptismal Certificate & Marriage extract.

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