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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000276

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Neil HermanJohnson Sex Male

Date of Birth February 15, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father John Robert Johnson MAIDEN NAME of Mother Margaret MacKay

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

Residence of Father when child was born 66 Payne Street, Sydney, Cape Breton Co., NS Present address of Father 66 Payne Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Steel Worker Place of birth of Father Londonderry, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Neil H. Hohnson Address of Applicant 32 West Street, Sydney, Cape Breton Co., NS Date 19 September 1964

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Neil HermanJohnson

Born at Sydney in the County of Cape Breton

That Neil HermanJohnson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 15, 1924

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

School records and baptismal record enclosed with this registration

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