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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000918

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Peter GeorgeMacAdam Sex Male

Date of Birth June 8, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father Dan H.  MacAdam MAIDEN NAME of Mother Kate MacNeil

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

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

Occupation of Father at Birth of child Road Superintendent, Province of N.S. Place of birth of Father East Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Irene MacLean (MacAdam) Address of Applicant 143 R Main St. Glace Bay Date June 4, 1988

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Peter GeorgeMacAdam

Born at Glace Bay in the County of Cape Breton

That Peter GeorgeMacAdam Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 8, 1924

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

Baptismal Certificate

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