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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000709

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 2, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father Abbe J. Burke MAIDEN NAME of Mother Emilia Girouard

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

Residence of Father when child was born Amherst Cumberland Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Amherst, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Francis Earl Burke Address of Applicant 20 Rupert Street, Amherst, Cumberland Co., NS Date 16 March 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph Francis EarlBurke

Born at Amherst in the County of Cumberland

That Joseph Francis EarlBurke Whose Birth is sought to be registered was

born at Amherst Cumberland County on March 2, 1923

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

Baptism

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