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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000848

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Matthew GregoryMoore Sex Male

Date of Birth October 24, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Daniel Joseph Moore MAIDEN NAME of Mother Annie Penny

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

Residence of Father when child was born Whitney Pier Present address of Father dead

Occupation of Father at Birth of child Millwright Place of birth of Father Avondale, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Matthew Gregory Moore Address of Applicant 18 Harrison Avenue, Sydney Date May 26, 1986

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Matthew GregoryMoore

Born at Sydney in the County of Cape Breton

That Matthew GregoryMoore Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 24, 1924

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

Baptismal Certificate Certificate of Medical Rejection from Canadian Army

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