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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500755

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Giacomo OrlandoCucco Sex Male

Date of Birth October 31, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Giovanni Cucco MAIDEN NAME of Mother Maria Renzi

Residence of Father when child was born 61 Hankard St. Sydney Present address of Father Detroit, Michigan

Occupation of Father at Birth of child Baker Place of birth of Father Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Renzi Address of Applicant 254 Charlotte St. Sydney Date January 6, 1941

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Giacomo OrlandoCucco

Born at Sydney in the County of Cape Breton

That Giacomo OrlandoCucco Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 31, 1923

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

I Joseph Renzi uncle of this boy was (present) boarding at the time with my sister (boy's mother) when he was born

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