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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000764

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 30, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father John Baryluk MAIDEN NAME of Mother  Durkey

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donna Dalrymple Address of Applicant RR $3, Sydney, Cape Breton Date 10 June 1979

Relationship of Applicant to child Daughter

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That AnnieBaryluk Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 30, 1922

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

Certificate of baptism

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