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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000865

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vincent JosephO'Rourke Sex Male

Date of Birth January 26, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father James O'Rourke MAIDEN NAME of Mother Ann Hiscock

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child Carpenter Dominion Coal Co. Place of birth of Father unknown

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vicent J. O'Rourke Address of Applicant 111 Webster St. Sydney Date February 16, 1987

Relationship of Applicant to child own Birth Certificate

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vincent JosephO'Rourke

Born at Sydney in the County of Cape Breton

That Vincent JosephO'Rourke Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 26, 1924

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

That I am Vincent Joseph O'Rourke's older sister, I remember when Vincent was born - The Doctor was Dr. Calder and the nurse was Ms. Mabel Dubbin. His date of birth is recorded in Family Bible - photocopy of page attached

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