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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600711

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 7, 1921 Place of Birth Glace Bay, New AberdeenCounty of Cape Breton

Name of Father Michael Kraveski MAIDEN NAME of Mother Frances Chapala

Residence of Father when child was born Glace Bay, New Aberdeen, Cape Breton Co., NS Present address of Father Dead

Occupation of Father at Birth of child Coal Miner Place of birth of Father Podolsk, Russia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fred Lauriente Address of Applicant Box 2173, Trail, British Columbia Date 20 August 1936

Relationship of Applicant to child Step Father

AFFIDAVIT

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

Born at Glace Bay, New Aberdeen in the County of Cape Breton

That AngelineKraveski Whose Birth is sought to be registered was

born at Glace Bay, New Aberdeen Cape Breton County on September 7, 1921

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

That I am her mother.

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