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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000857

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 18, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Antonio  Manzine MAIDEN NAME of Mother Mary MacNeil

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

Residence of Father when child was born New Waterford Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edward Benvie Address of Applicant Brookfield Date September 8, 1977

Relationship of Applicant to child husband

AFFIDAVIT

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

Born at New Waterford in the County of Cape Breton

That LaurinaManzine Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on May 18, 1920

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

Baptismal

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