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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000176

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cyril RaphaelMerner Sex Male

Date of Birth October 25, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Dennis Merner MAIDEN NAME of Mother Alice Cuddihy

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

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

Occupation of Father at Birth of child Steelworker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Alice Merner Address of Applicant 1136 Victoria Road, Halifax, NS Date 10 July 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cyril RaphaelMerner

Born at Sydney in the County of Cape Breton

That Cyril RaphaelMerner Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 25, 1924

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

He was born on October 25th, 1924 at 114 Bay Street, Sydney, Cape Breton, NS Baptism certificate

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