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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000312

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles MaxwellTravis Sex Male

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

Name of Father Gideon Travis MAIDEN NAME of Mother Violet Foley

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles Maxwell Travis Address of Applicant 280 Coxheath Road, Sydney, Cape Breton Co., NS Date 9 July 1968

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles MaxwellTravis

Born at Sydney in the County of Cape Breton

That Charles MaxwellTravis 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:

I am Mr. Travis' Aunt. I recall the day of his birth and was with his mother, my sister, on the day that he was born

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