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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000612

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of VeronicaPopovich Sex Female

Date of Birth January 13, 1920 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Thomas Popovich MAIDEN NAME of Mother Mary White

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

Residence of Father when child was born Sydney Mines Present address of Father Sydney Mines

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

Race Anglo-saxon Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Veronica Popovich Address of Applicant Sydney Mines Date October 30, 1972

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of VeronicaPopovich

Born at Sydney Mines in the County of Cape Breton

That VeronicaPopovich Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on January 13, 1920

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

That I am her father and have full knowledge of the facts as stated. - Thomas Popovich

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