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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800637

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph AdamTreige Sex Male

Date of Birth June 12, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Emil Joseph Treige MAIDEN NAME of Mother Mary Grof

Residence of Father when child was born Dominion No. 4, Glace Bay, Cape Breton Co., NS Present address of Father Tower Road, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Germany

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Triege Address of Applicant Tower Road, Cape Breton Co., NS Date 23 August 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph AdamTreige

Born at Glace Bay in the County of Cape Breton

That Joseph AdamTreige Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 12, 1922

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

I am his mother and well recall the day he was born

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