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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000022

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 16, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father David Cohen MAIDEN NAME of Mother Fanny Jankelievicz

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 602 George Street, Sydney, Cape Breton

Occupation of Father at Birth of child Grocer Place of birth of Father Minsk, USSR

Race Name and present address of Physician in attendance at birth

Signature of Applicant David Cohen Address of Applicant 602 George Street, Sydney, Cape Breton Date 12 June 1947

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That NathanCohen Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 16, 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 Nathan Cohen

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