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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100022

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 16, 1923 Place of Birth East BayCounty of Cape Breton

Name of Father Daniel MacIntyre MAIDEN NAME of Mother Sadie MacPherson

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father East Bay, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John A. MacIntyre Address of Applicant PO Box 10, RR #1, Sydney Forks, Cape Breton Co., NS Date February 1988

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at East Bay in the County of Cape Breton

That John AlexanderMacIntyre Whose Birth is sought to be registered was

born at East Bay Cape Breton County on April 16, 1923

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

Baptismal certificate

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