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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600717

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Barbara MaryLukow Sex Female

Date of Birth June 30, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Dymtio Lukow MAIDEN NAME of Mother Ksenka Bernacka

Residence of Father when child was born 3 Henry St. Sydney Present address of Father 1542 Langlois Ave. Windsor

Occupation of Father at Birth of child Shoemaker Place of birth of Father Poland

Race Ukrainian Name and present address of Physician in attendance at birth Dr. McRae

Signature of Applicant Ksenka Lukow Address of Applicant 1542 Langlois Ave. Windsor, Ontario Date October 12, 1938

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Barbara MaryLukow

Born at Sydney in the County of Cape Breton

That Barbara MaryLukow Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 30, 1920

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

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