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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000713

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 30, 1921 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Simplicio Villa MAIDEN NAME of Mother Marie Rozalie Carbol

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

Residence of Father when child was born New Waterford Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Calano, Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Villa Address of Applicant 1258 Valley Dr. Oshawa, Ontario Date September 29, 1977

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at New Waterford in the County of Cape Breton

That OnofrioVilla Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on January 30, 1921

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

I am the mother of Onofrio Villa

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