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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000818

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of HaroldDonahue Sex Male

Date of Birth April 15, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Michael Donahue MAIDEN NAME of Mother Veronica Johnson

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Employee of Dominion Coal Co. Place of birth of Father Cape North, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold Donahue Address of Applicant 21 Stamford Square North, Scarborough, Ontario Date 13 January 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of HaroldDonahue

Born at Glace Bay in the County of Cape Breton

That HaroldDonahue Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 15, 1923

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

I am Godmother to the said Harold Donahue who was baptized at St. Anthony's Parish on or about the 22 day of April, 1923.

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