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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000849

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John BenedictWalsh Sex Male

Date of Birth March 21, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Walsh MAIDEN NAME of Mother Mary Catherine Cameron

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

Residence of Father when child was born Tenth Street Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant John B. Walsh Address of Applicant 115 Lancaster West, Kitchener, Ontario Date 24 February 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John BenedictWalsh

Born at Glace Bay in the County of Cape Breton

That John BenedictWalsh Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on March 21, 1923

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

Baptismal certificate

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