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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000465

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 27, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Antonio Bianchi MAIDEN NAME of Mother Onorina Argenta

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 Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Fonzaso Belluno, Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Maria A. Bianchi Mary Shipp Address of Applicant 3840 Dorchester Road, Niagara Falls, Ontario Date 12 April 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maria AdelineBianchi

Born at Glace Bay in the County of Cape Breton

That Maria AdelineBianchi Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 27, 1923

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

In the opinion of the applicant (Maria Adeline Bianchi) the birth has been registered.

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