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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000345

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John VictorSpizarsky Sex

Date of Birth September 3, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael Spizarsky MAIDEN NAME of Mother Jennie (Germaine) Allain

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

Residence of Father when child was born 32 Topper street, Sydney Present address of Father 209 Gerrard St. E., Toronto, Ontario

Occupation of Father at Birth of child Labourer at Dominion Steel & Coal Corporation, Sydney Place of birth of Father Raranche (Redkovsty), Bukovina (Bucovina), Roumania (Romania)

Race White Name and present address of Physician in attendance at birth Dr. Calder, Sydney

Signature of Applicant Michael Spizarsky Address of Applicant 209 Gerrard St E., Toronto, Ontario Date May 9, 1961

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John VictorSpizarsky

Born at Sydney in the County of Cape Breton

That John VictorSpizarsky Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 3, 1920

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

1 - Examination of statutory declaration, dated Aug 16, 1939 and signed by the father of John V. Spizarsky. 2 - Examination of a letter from Harry E. Carbin, Principal of Ogden Public School, Toronto. 3 - Examination of Certificate of Service in the Royal Canadian Naval Reserve.

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