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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000839

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kateryna (Catherine)Melnyk Sex Female

Date of Birth March 18, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Wasyl Melnyk MAIDEN NAME of Mother Palahia Yakosiychuk

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 Ukraine

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Catherine Hankin Address of Applicant 10351 Seaham Crescent, Richmond, British Columbia Date October 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kateryna (Catherine)Melnyk

Born at Sydney in the County of Cape Breton

That Kateryna (Catherine)Melnyk Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 18, 1923

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

That this is the date that I have always known to be my birthdate as told to me by my parents (now deceased) and as recorded by my church and evidenced by my church certificate of baptism.

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