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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000706

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

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

Name of Father Mathew Bobek MAIDEN NAME of Mother Anna Sas

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 Sydney Steel Plant Place of birth of Father Ternople, Ukraine

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Catherina Latta Address of Applicant 837 McMillan St. Thunderbay, Ontario Date September 7, 1977

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That CatherinaBobek 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:

Certificate of Baptism

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