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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000629

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles Raphael Fiorindodi Profio Sex Male

Date of Birth March 27, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph di Profio MAIDEN NAME of Mother Rosa Margetti

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father 33 Victoria Road, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Water Tester at Steel Co. Place of birth of Father Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Di Profio Address of Applicant 33 Victoria Road, Sydney, Cape Breton Co., NS Date 25 October 1941

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles Raphael Fiorindodi Profio

Born at Sydney in the County of Cape Breton

That Charles Raphael Fiorindodi Profio Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 27, 1923

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

I am his father and was at home at the time and I remember the date.

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