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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000602

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Angus JohnPatterson Sex Male

Date of Birth June 12, 1923 Place of Birth Boularderie EastCounty of Cape Breton

Name of Father Charles John Patterson MAIDEN NAME of Mother Lena Belle Y

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Boularderie East, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Angus Patterson Address of Applicant 60 Peel Street, Brantford, Ontario Date 3 May 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Angus JohnPatterson

Born at Boularderie East in the County of Cape Breton

That Angus JohnPatterson Whose Birth is sought to be registered was

born at Boularderie East Cape Breton County on June 12, 1923

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

I am his oldest sister and have knowledge of the date of his birth.

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