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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000401

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JesseCrews Sex Male

Date of Birth October 6, 1924 Place of Birth Little Bras d'OrCounty of Cape Breton

Name of Father George Crews MAIDEN NAME of Mother Gertie Pike

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

Residence of Father when child was born Little Bras d'Or, Cape Breton Co., NS Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jesse Crews Address of Applicant 14 Park Street, North Sydney, Cape Breton Co., NS Date 7 July 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JesseCrews

Born at Little Bras d'Or in the County of Cape Breton

That JesseCrews Whose Birth is sought to be registered was

born at Little Bras d'Or Cape Breton County on October 6, 1924

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

Certificate of Baptism from the Church of the Holy Trinity (Anglican) of Sydney Mines, NS

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