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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000236

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 22, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Simon Rosenblum MAIDEN NAME of Mother Ethel Sheppar

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

Residence of Father when child was born McKeen Street, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Merchant Place of birth of Father Russia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anita Dubinsky Address of Applicant 5 Blockett Street, Glace Bay, Cape Breton Date 15 August 1958

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That AnitaRosenblum Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 22, 1922

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

Hospital record shows the 21 August in error. Birth occurred after midnight. I am her mother. Attached is the hospital record.

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