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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000067

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances SonyaDeKouchay Sex Female

Date of Birth March 15, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael DeKouchay MAIDEN NAME of Mother Mary Malik

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

Residence of Father when child was born 158 Meloney Street, Sydney, Cape Breton Present address of Father 158 Meloney Street, Sydney, Cape Breton

Occupation of Father at Birth of child Steel Worker Place of birth of Father Austria (Poland)

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary DeKouchay Address of Applicant 158 Meloney Street, Sydney, Cape Breton Date 7 June 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances SonyaDeKouchay

Born at Sydney in the County of Cape Breton

That Frances SonyaDeKouchay Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 15, 1922

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

The child was delivered without an attending physician at 158 Meloney Street on March 15, 1922. I am the mother of Frances Sonya DeKouchay and well recall the date of her birth.

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