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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800661

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 1, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Emil Went MAIDEN NAME of Mother Sophie Seipel

Residence of Father when child was born Glace Bay, Cape Breton Co., NS Present address of Father Gardiner Mines, Cape Breton Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emil Went Address of Applicant Gardiner Mines, Cape Breton Co., NS Date 15 March 1944

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That AlwinaWent Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 1, 1921

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

I am her father and she is my daughter

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