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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000763

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clifford DouglasMader Sex Male

Date of Birth August 7, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Albert Joseph Mader MAIDEN NAME of Mother Evelyn Mae Gardiner

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

Residence of Father when child was born Fisher Street Sydney Cape Breton Co. Ns Present address of Father Hardwood Hill Cemetery (Deceased)

Occupation of Father at Birth of child Steel Worker Place of birth of Father Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant C. Mader Address of Applicant 94 Fisher Street, Sydney, Cape Breton Co., NS Date 24 November 1979

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clifford DouglasMader

Born at Sydney in the County of Cape Breton

That Clifford DouglasMader Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 7, 1923

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

I am an older sister, born January 16, 1920. I was 3 years and 8 months old when my brother was born and I was present in the home at 94 Fisher Street, Sydney when he was delivered by Dr. MacRae and Nurse Mabel Dublin, after they left the home I was taken into the room to see my only brother.

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