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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100392

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Peter JosephRomanowiez Sex Male

Date of Birth March 14, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Romanowiez MAIDEN NAME of Mother Mary Zevclach

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

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

Occupation of Father at Birth of child Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Peter Joseph Romanowiez Address of Applicant Sydney Date May 1992

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Peter JosephRomanowiez

Born at Sydney in the County of Cape Breton

That Peter JosephRomanowiez Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 14, 1920

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

I have been told that my birthdate is March 14, 1920. The Baptism Certificate shows my birthdate to be March 14, 1920. I have always celebrated my birthday on March 14. Baptism & Marriage Extract

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