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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000412

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James BernardO'Connor Sex Male

Date of Birth October 6, 1923 Place of Birth GuysboroughCounty of Guysborough

Name of Father Guys Francis O'Connor MAIDEN NAME of Mother Catherine Cunningham

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Guysborough, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth M. O'Conner Address of Applicant Toronto, Ontario Date 29 June 1971

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James BernardO'Connor

Born at Guysborough in the County of Guysborough

That James BernardO'Connor Whose Birth is sought to be registered was

born at Guysborough Guysborough County on October 6, 1923

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

Certificate of baptism

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