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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700099

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Armande AlbertoCaiazzo Sex Male

Date of Birth December 26, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Pasquale Caiazzo MAIDEN NAME of Mother Carmela Maria Menico

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Siano, Italy

Race Name and present address of Physician in attendance at birth Dr. D.W. Archibald

Signature of Applicant Pasquale Caiazzo Address of Applicant Sydney Mines Date 13 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Armande AlbertoCaiazzo

Born at Sydney Mines in the County of Cape Breton

That Armande AlbertoCaiazzo Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on December 26, 1919

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

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