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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000008

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 28, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father John Pesonuk MAIDEN NAME of Mother Vera Kinjerski

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father

Occupation of Father at Birth of child Steelworker Place of birth of Father Chotin, Bessarabia, Russia

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Pesonuk Address of Applicant 92 Ferris Street, Sydney, Cape Breton Date 5 August 1946

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That DorothyPesonuk Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 28, 1922

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

That I am the father of the said Dorothy Pesonuk

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