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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000905

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roderick AlexanderMcIntosh Sex Male

Date of Birth February 3, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father John T. McIntosh MAIDEN NAME of Mother Maryann Brewer

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

Residence of Father when child was born School St. Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father St. John, N.B.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alex McIntosh Address of Applicant 133 McLean St. Glace Bay Date May 5, 1986

Relationship of Applicant to child Applicant is the one wanting to register his birth

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roderick AlexanderMcIntosh

Born at Glace Bay in the County of Cape Breton

That Roderick AlexanderMcIntosh Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 3, 1924

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

I was a neighbour and knew the family well. Certificate of Baptism

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