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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000689

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MaryGura Sex Female

Date of Birth August 29, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father John Gura MAIDEN NAME of Mother Catherine Starumski

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

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

Occupation of Father at Birth of child Steel Worker Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Gura Address of Applicant RR #3, Howie Centre, Cape Breton Co., NS Date 23 January 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MaryGura

Born at Sydney in the County of Cape Breton

That MaryGura Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 29, 1923

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

I have read the attached certificate of baptism of Mary Gura which appears to be a true account of the particulars of Mary Gura's birth. Also, I have been informed by Mary Gura that the facts set out in the certificate of baptism attached hereto are true and correct facts relating to her birth.

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