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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000042

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie TheresaEksal Sex Female

Date of Birth March 26, 1923 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Charlie Eksal MAIDEN NAME of Mother Annie Podgursky

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born New Waterford Cape Breton Co. Ns Present address of Father New Waterford, Cape Breton Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Annie McMillan Address of Applicant New Waterford, Cape Breton Co., NS Date 15 September 1947

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie TheresaEksal

Born at New Waterford in the County of Cape Breton

That Annie TheresaEksal Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on March 26, 1923

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

I am the father of Annie Theresa Eksal and was present at my home the day she was born. March 26, 1923 at my home.

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