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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700322

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 24, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Edward Nitch MAIDEN NAME of Mother Pauline Shankofsky

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

Residence of Father when child was born Glace Bay Present address of Father New Aberdeen

Occupation of Father at Birth of child Miner Place of birth of Father Austria

Race Name and present address of Physician in attendance at birth M.T. Sullivan

Signature of Applicant Edward Nitch Address of Applicant New Aberdeen, Glace Bay Date 23 January 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That MaryNitch Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 24, 1919

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

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