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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000650

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary VictoriaPuida Sex Female

Date of Birth March 14, 1920 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father John  Puida MAIDEN NAME of Mother Catherine Oriente

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

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

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

Race White Name and present address of Physician in attendance at birth Dr. Archibald, deceased

Signature of Applicant Charles Mitchell Address of Applicant Halifax Date September 6, 1973

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary VictoriaPuida

Born at Sydney Mines in the County of Cape Breton

That Mary VictoriaPuida Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on March 14, 1920

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

I am Mary Victoria's brother and submit hereto attached certificate of Baptism obtained from Immaculate Conception Parish Church in Sydney Mines showing birth date to be May 14, 1920 and Baptism date as May 23, 1920.

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