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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000961

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of NicholasLaffin Sex Male

Date of Birth April 3, 1924 Place of Birth North SydneyCounty of Cape Breton

Name of Father Daniel Laffin MAIDEN NAME of Mother Mary Ellen Tobin

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Bras d'Or

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nicholas Laffin Address of Applicant Bras d'Or Date April 19, 1990

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of NicholasLaffin

Born at North Sydney in the County of Cape Breton

That NicholasLaffin Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on April 3, 1924

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

Baptismal Marriage extract

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