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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000567

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph JohnnyMonton Sex Male

Date of Birth August 10, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father William Bailey Billy Monton MAIDEN NAME of Mother  Alain

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

Residence of Father when child was born Henry Street Sydney Cape Breton Co. Ns Present address of Father 8660 Jean Brillon, Apt. 104, Lasalle, Quebec

Occupation of Father at Birth of child Steel Worker Place of birth of Father Bucharest, Romania

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Johnny Monton Address of Applicant 542 Pine Avenue West, Montreal, Quebec Date 3 May 1976

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph JohnnyMonton

Born at Sydney in the County of Cape Breton

That Joseph JohnnyMonton Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 10, 1923

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

Certificate de Naissance et de Bapteme Knowledge of birth by father (William, Billy Monton)

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