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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000357

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JosephO'Hearn Sex Male

Date of Birth November 11, 1923 Place of Birth Halifax, NSCounty of Halifax

Name of Father William O'Hearn MAIDEN NAME of Mother Florence Lacey

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

Residence of Father when child was born Halifax Ns Present address of Father Deceased

Occupation of Father at Birth of child Baker Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John J. O'Hearn Address of Applicant 6925 Vaughan Avenue, Halifax, NS Date 27 May 1969

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JosephO'Hearn

Born at Halifax, NS in the County of Halifax

That John JosephO'Hearn Whose Birth is sought to be registered was

born at Halifax, NS Halifax County on November 11, 1923

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

Baptismal certificate

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