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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000459

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maurice FrancisMacNeil Sex Male

Date of Birth July 21, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father John MacNeil MAIDEN NAME of Mother Theda Pitts

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

Residence of Father when child was born North Street Glace Bay Cape Breton Co Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Christmas Island, Cape Breton Co, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Maurice F. MacNeil Address of Applicant 24 Deer Park, Oromocto, New Brunswick Date 1 February 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maurice FrancisMacNeil

Born at Glace Bay in the County of Cape Breton

That Maurice FrancisMacNeil Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 21, 1923

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

Class A, C.

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