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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000277

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 10, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Max Nathan Druker MAIDEN NAME of Mother Jennie Cooper

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

Residence of Father when child was born 638 George Street, Sydney, Cape Breton Present address of Father 638 George Street, Sydney, Cape Breton

Occupation of Father at Birth of child Insurance Agent, Metropolitan Life Place of birth of Father Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Max Nathan Druker Address of Applicant 638 George Street, Sydney, Cape Breton Date 20 April 1926

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That SidneyDruker Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 10, 1923

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

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