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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000990

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold AloysiusLivingstone Sex Male

Date of Birth January 13, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Hibbert Livingstone MAIDEN NAME of Mother Catherine MacPhee

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 Coal Miner Place of birth of Father Low Point, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold Livingstone Address of Applicant 28 Morrison Street, Glace Bay, Cape Breton Co., NS Date 28 April 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold AloysiusLivingstone

Born at Glace Bay in the County of Cape Breton

That Harold AloysiusLivingstone Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 13, 1923

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

I am his Aunt, his father's sister (nee Dorothy Livingstone) and well remember the birth of my nephew. I also enclose a certificate of Baptism showing the date of birth as January 13, 1923

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