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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

65200371

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon EdwardKeigan Sex Male

Date of Birth April 17, 1924 Place of Birth North SydneyCounty of Cape Breton

Name of Father Edward Abbott Keigan MAIDEN NAME of Mother Elizabeth Parks

Residence of Father when child was born North Sydney, Cape Breton Co., NS Present address of Father North Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edward A. Keigan Address of Applicant North Sydney, Cape Breton Co., NS Date 14 February 1930

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon EdwardKeigan

Born at North Sydney in the County of Cape Breton

That Gordon EdwardKeigan Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on April 17, 1924

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

I am the father of said child and remember the date of his birth. And I also verified same by the parish records of the Catholic Church, North Sydney, where said child was baptized.

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