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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700546

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FredKrakenburg Sex Male

Date of Birth October 27, 1919 Place of Birth Birch GroveCounty of Cape Breton

Name of Father William Krakenburg MAIDEN NAME of Mother Matilda Baumann

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

Residence of Father when child was born Birch Grove Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father königssteele Hattingen, Germany

Race Name and present address of Physician in attendance at birth Dr. A.K. Roy

Signature of Applicant William Krakenburg Address of Applicant Birch Grove Date 06 January 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Birch Grove in the County of Cape Breton

That FredKrakenburg Whose Birth is sought to be registered was

born at Birch Grove Cape Breton County on October 27, 1919

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

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