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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000885

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James HenryEarle Sex Male

Date of Birth March 2, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Albert Earle MAIDEN NAME of Mother Jessie Moules

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

Residence of Father when child was born Lower Bay St. Sydney Present address of Father Whites Rd. Carbonear, NFLD

Occupation of Father at Birth of child Mine Worker Place of birth of Father Carbonear, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Father Deceased Address of Applicant Date October 27, 1987

Relationship of Applicant to child Father (now Deceased)

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James HenryEarle

Born at Sydney in the County of Cape Breton

That James HenryEarle Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 2, 1924

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

Known to me as per my parents and also per Information attached

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