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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000215

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean EugeneHareguy Sex Female

Date of Birth December 13, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Francis Hareguy MAIDEN NAME of Mother Mary MacQueen

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

Residence of Father when child was born Beech Street, Sydney, Cape Breton Co., NS Present address of Father 542 Victoria Road, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Steelworker Place of birth of Father St. Pierre & Miquelon

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Jean Eugene Evans Address of Applicant 641 Victoria Road, Sydney, Cape Breton Co., NS Date 26 August 1959

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean EugeneHareguy

Born at Sydney in the County of Cape Breton

That Jean EugeneHareguy Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 13, 1924

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

The certificates of Baptism and Birth, signed by the Right Reverand R.C. MacGillivary, Holy Redeemer, Sydney, NS and certificate of D.A. Doyle, Parish Priest, Sacred Heart, Sydney, NS, both of which certificates are attached hereto

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