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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000533

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 2, 1924 Place of Birth FlorenceCounty of Cape Breton

Name of Father Arthur Blinkhorn MAIDEN NAME of Mother Alice E. Luker

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harry Blinkhorn Address of Applicant 177 5th Avenue, Kitchener, Ontario Date 8 March 1977

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Florence in the County of Cape Breton

That HarryBlinkhorn Whose Birth is sought to be registered was

born at Florence Cape Breton County on May 2, 1924

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

Examination of certificate of baptism

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