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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000525

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John CharlesMarshall Sex Male

Date of Birth September 1, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Arthur Frederick MAIDEN NAME of Mother Lenora Jane Howell

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 Steel Worker Place of birth of Father Carbonear, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Charles Marshall Address of Applicant 170 Webster Street, Sydney, Cape Breton Co., NS Date 13 December 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John CharlesMarshall

Born at Sydney in the County of Cape Breton

That John CharlesMarshall Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 1, 1924

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

I celebrate my birthday September 1st. As a young boy, I remember my 10th in 1934, my parent telling me I was 10.

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