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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000994

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 18, 1923 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Alex Manley MAIDEN NAME of Mother Bessie Res

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stephen Manley Address of Applicant General Delivery, Pier Postal Station, Sydney, Cape Breton Co., NS Date 27 June 1987

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney Mines in the County of Cape Breton

That StephenManley Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on May 18, 1923

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

This is my own birth Baptismal certificate

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