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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100011

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 21, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father John Keefe MAIDEN NAME of Mother Margaret MacDonald

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

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

Occupation of Father at Birth of child Pipe Fitter at Steel Works Place of birth of Father Sydney, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Pringle Keefe Address of Applicant 321 Ridgeway Drive, Riverview, New Brunswick Date 30 November 1987

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That John PringleKeefe Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 21, 1923

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

Baptismal certificate School record

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