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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000436

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles ColinMyles Sex Male

Date of Birth January 3, 1923 Place of Birth DominionCounty of Cape Breton

Name of Father Charles Almond Myles MAIDEN NAME of Mother Mamie McDonald

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

Residence of Father when child was born Dominion Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner - 16 Colliery, Glace Bay Place of birth of Father Port Morien, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles Colin Myles Address of Applicant Lower Mitchell Avenue, Dominion, Cape Breton Co., NS Date 17 April 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles ColinMyles

Born at Dominion in the County of Cape Breton

That Charles ColinMyles Whose Birth is sought to be registered was

born at Dominion Cape Breton County on January 3, 1923

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

Certification from school records, certification from records of employer of 29 years and personal knowledge as mother of the applicant.

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