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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000310

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rose Maria GeorgetteMilani Sex Female

Date of Birth November 18, 1923 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Ricardo Milani MAIDEN NAME of Mother Maria Roncato

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 Masson, Quebec

Occupation of Father at Birth of child Coal Miner Place of birth of Father Albaredo, Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Milani Ricardo Address of Applicant Masson, Quebec Date 23 August 1965

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rose Maria GeorgetteMilani

Born at New Waterford in the County of Cape Breton

That Rose Maria GeorgetteMilani Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on November 18, 1923

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

Father

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