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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000584

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maria CancetennaMarzitelli Sex Female

Date of Birth June 12, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father Nicolas Marzitelli MAIDEN NAME of Mother Edna Bristol

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

Residence of Father when child was born Amherst Present address of Father 237-65th Ave. Chomedey, Laval, Quebec

Occupation of Father at Birth of child Construction Work Place of birth of Father Casacalenda, Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nicholas Marzitelli Address of Applicant 237-65th Ave. Chomedey, Laval, Quebec Date December 26, 1974

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maria CancetennaMarzitelli

Born at Amherst in the County of Cumberland

That Maria CancetennaMarzitelli Whose Birth is sought to be registered was

born at Amherst Cumberland County on June 12, 1921

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

Above information is correct, and the child was baptized June 19th, 1921 at St. Charles Church, Amherst. Baptismal Certificate issued by St. Charles Church, Amherst August 17th, 1940.

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