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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000932

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eugene AntoineBinda Sex Male

Date of Birth February 10, 1923 Place of Birth Eastern PassageCounty of Halifax

Name of Father   MAIDEN NAME of Mother Valeria Binda

Were the Parents married at the time of the Birth? No

Residence of Father when child was born 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 E. Antoine Binda Address of Applicant 7150 Viau, Apt 201, St. Leonard, Quebec, H1S 2W2 Date 18 July 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eugene AntoineBinda

Born at Eastern Passage in the County of Halifax

That Eugene AntoineBinda Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on February 10, 1923

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

Certificate of birth and baptism by Immaculate Conception Rectory, 337 Pleasant Street, Dartmouth, NS dated June 20, 1977

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