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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000831

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Augustus GrahamWareham Sex Male

Date of Birth July 27, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Gilbert Joyce Wareham MAIDEN NAME of Mother Violet MacDonald Graham

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

Residence of Father when child was born Havelock Street Sydney Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Violet Wareham Address of Applicant 150 Mount Pleasant Street, Sydney, Cape Breton Co., NS Date 14 June 1982

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Augustus GrahamWareham

Born at Sydney in the County of Cape Breton

That Augustus GrahamWareham Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 27, 1923

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

1. Birth certificate issued by Holy Redeemer Parish - attached hereto 2. Family bible 3. Memory - personal knowledge

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