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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100191

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 11, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Frank Kowel MAIDEN NAME of Mother Josephine Chirka

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Ukraine

Race Caucasian Name and present address of Physician in attendance at birth Midwife attended at birth - no physician attended

Signature of Applicant Helen Powlenzuk Address of Applicant Oshawa, Ontario Date April 29, 1982

Relationship of Applicant to child same person

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That HelenKowel Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 11, 1920

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

I am the mother of Helen Kowel

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