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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000814

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JosephThiel Sex Male

Date of Birth December 20, 1923 Place of Birth Dominion No. 4County of Cape Breton

Name of Father John Joseph Thiel MAIDEN NAME of Mother Elizabeth Mary Treige

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

Residence of Father when child was born Dorchester Street Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Poisnon, Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Joseph Thiel Address of Applicant RR #1, Glace Bay, Cape Breton Co., NS Date 18 August 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JosephThiel

Born at Dominion No. 4 in the County of Cape Breton

That John JosephThiel Whose Birth is sought to be registered was

born at Dominion No. 4 Cape Breton County on December 20, 1923

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

Information received from parents School records Recollection of former school teacher

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