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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000110

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James ReneDornadic Sex Male

Date of Birth November 26, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Charles Dornadic MAIDEN NAME of Mother Edwardine Renaud

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

Residence of Father when child was born Westmount, Cape Breton Present address of Father 204 Gottingen Street, Halifax

Occupation of Father at Birth of child Tailor Place of birth of Father France

Race Name and present address of Physician in attendance at birth

Signature of Applicant J. R. Dornadic Address of Applicant 13 Stairs Street, Halifax Date 22 January 1951

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James ReneDornadic

Born at Sydney in the County of Cape Breton

That James ReneDornadic Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 26, 1922

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

Certificate of baptism attached

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