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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000438

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leo FidelisCarrigan Sex Male

Date of Birth April 27, 1924 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Leo Carrigan MAIDEN NAME of Mother Mary Mullins

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

Residence of Father when child was born Reserve Mines, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leo Fidelis Carrigan Address of Applicant 2 Don Mount Court, Toronto, Ontario Date 19 August 1974

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leo FidelisCarrigan

Born at Reserve Mines in the County of Cape Breton

That Leo FidelisCarrigan Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on April 27, 1924

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

Certificate of Baptism and of birth - St. Joseph's Parish, Reserve Mines, NS

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