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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000228

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James SenleyWhite Sex Male

Date of Birth March 28, 1924 Place of Birth New VictoriaCounty of Cape Breton

Name of Father George White MAIDEN NAME of Mother Vina Fitzner

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

Residence of Father when child was born New Victoria, Cape Breton Co., NS Present address of Father Scotchtown, New Waterford, Cape Breton Co., NS

Occupation of Father at Birth of child Operator at Power Plant Place of birth of Father Bridgeport, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Senley White Address of Applicant 2 Queen Street, Scotchtown, New Waterford, Cape Breton Co., NS Date 14 April 1958

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James SenleyWhite

Born at New Victoria in the County of Cape Breton

That James SenleyWhite Whose Birth is sought to be registered was

born at New Victoria Cape Breton County on March 28, 1924

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

Birth Certificate

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