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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100382

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JuliaMaczlaytis Sex

Date of Birth July 2, 1920 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Joseph  Maczlaytis MAIDEN NAME of Mother Cassie Wesneskis

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

Residence of Father when child was born Hankin St., Sydney Mines Present address of Father

Occupation of Father at Birth of child Place of birth of Father Lithuania, Europe

Race Name and present address of Physician in attendance at birth

Signature of Applicant Julia Gabris Address of Applicant 82 Pleasant St., Truro Date August 8, 1990

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney Mines in the County of Cape Breton

That JuliaMaczlaytis Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on July 2, 1920

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

Baptismal, Marriage

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