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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000062

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles PaulTreige Sex Male

Date of Birth December 14, 1923 Place of Birth Dominion No. 4 (now Passchendale)County of Cape Breton

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

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

Residence of Father when child was born Dominion No. Cape Breton Co. Ns Present address of Father 63 Uxbridge, Toronto, Ontario

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 A. Treige Address of Applicant 63 Uxbridge, Toronto, Ontario Date 12 June 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles PaulTreige

Born at Dominion No. 4 (now Passchendale) in the County of Cape Breton

That Charles PaulTreige Whose Birth is sought to be registered was

born at Dominion No. 4 (now Passchendale) Cape Breton County on December 14, 1923

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

I am his mother and this information is recorded on his baptismal certificate as well as being within my own knowledge.

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