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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000921

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Yvonne RozeliaReynaert Sex Female

Date of Birth October 19, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Roman Reynaert MAIDEN NAME of Mother Mary Reynaert

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

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

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Yvonne Hammond Address of Applicant 40 Dufferin Street, Ingersoll, Ontario Date 19 March 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Yvonne RozeliaReynaert

Born at Glace Bay in the County of Cape Breton

That Yvonne RozeliaReynaert Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 19, 1923

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

On baptism certificate and census records.

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