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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000875

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna MargaretCholock Sex Female

Date of Birth June 14, 1922 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father George Cholock MAIDEN NAME of Mother Mary Spooney

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

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

Occupation of Father at Birth of child Miner (coal) Place of birth of Father Romania

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Anna MacNeil Address of Applicant 210 Mount Pleasant Street, Sydney, Cape Breton Date 28 January 1982

Relationship of Applicant to child N/A

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna MargaretCholock

Born at Sydney Mines in the County of Cape Breton

That Anna MargaretCholock Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on June 14, 1922

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

Court Order re: finding that Anna Margaret Cholock was born on June 14, 1922 at Sydney Mines, Cape Breton

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