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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100142

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie PaulineThiel Sex

Date of Birth September 25, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Joseph Thiel MAIDEN NAME of Mother Elizabeth Treige

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

Residence of Father when child was born Brucest, Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Poisnan, German

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Pauline Thiel Address of Applicant 36 St. Annes St. Date May 7, 1979

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie PaulineThiel

Born at Glace Bay in the County of Cape Breton

That Annie PaulineThiel Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 25, 1920

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

Being the mother of the applicant I was present at her birth on the date and place mentioned above, also the enclosed certificate of Birth and Baptism also the school records showing her age in Grade three (only record available).

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