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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100086

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph Wladyka Sex Male

Date of Birth February 25, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father John S. Wladyka MAIDEN NAME of Mother Veronica Planetta

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 Steel worker Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Louis Wladyka Address of Applicant 168 Murphy Rd. Sydney Date December 19, 1984

Relationship of Applicant to child n/a

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph Wladyka

Born at Sydney in the County of Cape Breton

That Joseph Wladyka Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 25, 1921

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

A certificate of Baptism the information on which was taken from the Pauls Church Records

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