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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000991

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hugh JosephMacEachern Sex Male

Date of Birth May 8, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Hugh D. MacEachern MAIDEN NAME of Mother Margaret Gillis

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 Creignish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hugh Joseph MacEachern Address of Applicant Sydney Date April 22, 2005

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hugh JosephMacEachern

Born at Sydney in the County of Cape Breton

That Hugh JosephMacEachern Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 8, 1924

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

My own personal knowledge and the fact of such birth as well as the attached Notarial True Copy of a Baptismal Certificate

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