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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000376

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sadie MildredWavroch Sex Female

Date of Birth July 28, 1922 Place of Birth West HansfordCounty of Cumberland

Name of Father Joseph Wavroch MAIDEN NAME of Mother Rosie Chesal

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

Residence of Father when child was born West Hansford, Cumberland Present address of Father RR #2, Oxford, Cumberland

Occupation of Father at Birth of child Farmer Place of birth of Father Czechoslovakia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Stanley Turner Address of Applicant Box 126, Cranbrook, British Columbia Date 6 August 1966

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sadie MildredWavroch

Born at West Hansford in the County of Cumberland

That Sadie MildredWavroch Whose Birth is sought to be registered was

born at West Hansford Cumberland County on July 28, 1922

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

That I am her mother Rosie Wavrock

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