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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000580

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of mary VeronicaKarfanty Sex Female

Date of Birth January 30, 1920 Place of Birth InvernessCounty of Inverness

Name of Father Andrew Karfanty MAIDEN NAME of Mother Rosie Copan

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

Residence of Father when child was born Inverness Present address of Father 1949 de Marie Court, Montreal, Quebec

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

Race Polish Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Vera St. Germain Address of Applicant 1949 de Marie Court, Montreal, Quebec Date 4 March 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of mary VeronicaKarfanty

Born at Inverness in the County of Inverness

That mary VeronicaKarfanty Whose Birth is sought to be registered was

born at Inverness Inverness County on January 30, 1920

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

Certificate of birth and baptism. Given by Pastor of Parish Church of Stella Maris, Inverness

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