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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000962

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 16, 1923 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Emmanuel Sives MAIDEN NAME of Mother Janet Copan

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

Residence of Father when child was born New Waterford Cape Breton Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Irene Sives Address of Applicant 22 Birchdale Drive, Sydney River, Cape Breton Co., NS Date 6 May 1986

Relationship of Applicant to child Wife

AFFIDAVIT

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

Born at New Waterford in the County of Cape Breton

That EmmanuelSives Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on May 16, 1923

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

I am the wife of Emmanuel Sives

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