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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200012

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cecil TonyJonavasky Sex Male

Date of Birth October 4, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Tony Jonavasky MAIDEN NAME of Mother Winnifred May Owen

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

Residence of Father when child was born Halifax Present address of Father 73 Faulklont St., Halifax

Occupation of Father at Birth of child Carpenter Place of birth of Father Russia

Race Name and present address of Physician in attendance at birth Dr. Harrison

Signature of Applicant Winnifred May Janavasky Address of Applicant 190 Barrington St. Date 27 October 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cecil TonyJonavasky

Born at Halifax in the County of Halifax

That Cecil TonyJonavasky Whose Birth is sought to be registered was

born at Halifax Halifax County on October 4, 1919

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

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