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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000300

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William Solomon TibiasPinksten Sex Male

Date of Birth August 14, 1923 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Allan Pinksten MAIDEN NAME of Mother Sarah Finlayson

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

Residence of Father when child was born Sydney Mines Cape Breton Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah Pinksten Address of Applicant 40 Crescent Street, Sydney Mines, Cape Breton Co., NS Date 21 November 1964

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William Solomon TibiasPinksten

Born at Sydney Mines in the County of Cape Breton

That William Solomon TibiasPinksten Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on August 14, 1923

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

That I am his mother and have full knowledge of all the facts

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