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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100068

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas AloysiusHart Sex Male

Date of Birth November 29, 1923 Place of Birth LousibourgCounty of Cape Breton

Name of Father James Hart MAIDEN NAME of Mother Catherine McGrath

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thomas Nelson Hart Address of Applicant 726 Main St. East Apt. 2 Hamilton Ontario Date April 5, 1994

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas AloysiusHart

Born at Lousibourg in the County of Cape Breton

That Thomas AloysiusHart Whose Birth is sought to be registered was

born at Lousibourg Cape Breton County on November 29, 1923

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

1. Certificate of Birth and Baptism (Certified Copy Enclosed) 2. Certificate of Marriage (Photocopy Enclosed) 3. Personal Knowledge

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