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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000854

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 1, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Alexander Malinowski MAIDEN NAME of Mother Mary Sakalauskas

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

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

Occupation of Father at Birth of child Pipe Fitter at Steel Plant Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant V. Malinowski Address of Applicant 27-B south Bentinck Street, Sydney, Cape Breton Date 30 March 1981

Relationship of Applicant to child Same person

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That VeroniceMalinowski Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 1, 1922

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

I have always celebrated my birthday on that date and was told by both my parents that March 1st, 1922 was the day of my birth.

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