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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000731

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 7, 1922 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Vincent Constantine MAIDEN NAME of Mother Pasquline DiPersio

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

Residence of Father when child was born Sydney Mines, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rosina Arsenault (Constantine) Address of Applicant 702 Alder Point, Cape Breton Date 13 March 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney Mines in the County of Cape Breton

That RosinaConstantine Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on November 7, 1922

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

1. Baptismal certificate (copy)

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