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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000702

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 28, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael Ardell MAIDEN NAME of Mother Anna Piskoz

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child Bricklayer Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Peter Ardell Address of Applicant 1276 Main St. East, Hamilton, Ontario Date September 6, 1977

Relationship of Applicant to child Brother

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That MaryArdell Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 28, 1921

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

I well remember the birth of my said sister, Mary Ardell, which occurred at the residence of my parents in Sydney.

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