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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000631

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Otto JosephMiller Sex Male

Date of Birth December 28, 1923 Place of Birth Little Bras d'OrCounty of Cape Breton

Name of Father Peter Wilhelm Miller MAIDEN NAME of Mother Sophia Frohlich

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

Residence of Father when child was born Little Bras D'Or Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Neunkirchen, Saarland, Germany

Race Name and present address of Physician in attendance at birth

Signature of Applicant Otto J. Miller Address of Applicant 2 Birkdale Drive, St. Catharines, Ontario Date 16 February 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Otto JosephMiller

Born at Little Bras d'Or in the County of Cape Breton

That Otto JosephMiller Whose Birth is sought to be registered was

born at Little Bras d'Or Cape Breton County on December 28, 1923

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

1. Certificate of Baptism

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