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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000439

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald EdwardKauffman Sex Male

Date of Birth January 3, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Jonathan Kauffman MAIDEN NAME of Mother Elizabeth Helen MacNeil

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

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

Occupation of Father at Birth of child Steel Worker Place of birth of Father Allentown, Pensylvania, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donald E. Kauffman Address of Applicant 33 Wesley Street, Sydney, Cape Breton Co., NS Date 27 March 1974

Relationship of Applicant to child application for myself for retirement and pension

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald EdwardKauffman

Born at Sydney in the County of Cape Breton

That Donald EdwardKauffman Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 3, 1924

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

I am the mother of the applicant

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