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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000628

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hugh JosephMacIntyre Sex Male

Date of Birth February 6, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Francis MacIntyre MAIDEN NAME of Mother Bessie MacIsaac

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant H. J. MacIntyre Address of Applicant 43 Reginald Street, Sudbury, Ontario Date 11 January 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hugh JosephMacIntyre

Born at Inverness in the County of Inverness

That Hugh JosephMacIntyre Whose Birth is sought to be registered was

born at Inverness Inverness County on February 6, 1923

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

Fact known all my life

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