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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000755

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Regis AndrewKavanagh Sex Male

Date of Birth August 12, 1923 Place of Birth Port MorienCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Clarissa Kavanagh

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. G. Kavanagh Address of Applicant ? Date 31 August 1979

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Regis AndrewKavanagh

Born at Port Morien in the County of Cape Breton

That Regis AndrewKavanagh Whose Birth is sought to be registered was

born at Port Morien Cape Breton County on August 12, 1923

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

I am a brother of Clarissa Kavanagh, the mother of Regis Andrew Kavanagh, and resided at home with my parents and brothers and sisters, including Clarissa Kavanagh at the time of the birth of Regis Andrew Kavanagh. My sister Clarissa Kavanagh was unmarried at the time of the birth and we had no knowledge of the name of the father.

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