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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000292

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Angelina A.Hashem Sex Female

Date of Birth October 7, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father John Hashem MAIDEN NAME of Mother Freda Hashem

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

Residence of Father when child was born 304 Townsend, Sydney, Cape Breton Co. Present address of Father deceased

Occupation of Father at Birth of child Shoe Shine Parlor Place of birth of Father Lebanon

Race Syrian Name and present address of Physician in attendance at birth Dr. Carter

Signature of Applicant Angelina Hashem Address of Applicant 471 Townsend Street, Sydney, Cape Breton Co. Date 17 January 1958

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Angelina A.Hashem

Born at Sydney in the County of Cape Breton

That Angelina A.Hashem Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 7, 1920

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

Angelina A. Hashem is the daughter of my own sister and at the time of her birth, her parents and myself lived in the same house and that of my father. We all lived there together. Confirmation certificate, school record. (signed Abraham A. Hashem)

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