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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000959

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Melvin BernardQuinn Sex Male

Date of Birth April 20, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Edward Quinn MAIDEN NAME of Mother Gertrude Antle

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Melvin Bernard Quinn Address of Applicant 3522 Birth Street, New Waterford, Cape Breton Co., NS, B1H 2K2 Date 18 March 1986

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Melvin BernardQuinn

Born at Sydney in the County of Cape Breton

That Melvin BernardQuinn Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 20, 1923

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

I remember all his family back to his Grandfather. (signed Andrew C. Penny)

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