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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000881

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of WalterParuch Sex Male

Date of Birth August 2, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Paruch MAIDEN NAME of Mother Lena Piedzielski

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 Walter Paruch Address of Applicant 30 Wesley Street Date 22 December 1983

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That WalterParuch Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 2, 1923

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

Certificate of baptism records of St. Mary's Church, Sydney, NS Personal knowledge of subject for a lifetime

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