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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000167

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 15, 1924 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father William Henry Grant MAIDEN NAME of Mother Catherine Elizabeth Coady

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

Residence of Father when child was born Reserve Mines, Cape Breton Co., NS Present address of Father Reserve Mines, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Glace Bay, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Melbourne Grant Address of Applicant Reserve Mines, Cape Breton Co., NS Date 2 April 1956

Relationship of Applicant to child Brother

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That Gordon EdwardGrant Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on September 15, 1924

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

It is the date shown on the certificate of Baptism from St. Joseph's Church, Reserve Mines, Cape Breton Co., already forwarded to the Deputy Registrar General. Family Bible record

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