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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000983

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of StephanieMalowany Sex Female

Date of Birth August 21, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Ivan Malowany MAIDEN NAME of Mother Mary Boychuk

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

Residence of Father when child was born Henry Street 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 Stephanie Malowany Address of Applicant 283 Lingan Road, Sydney, Cape Breton Co., NS Date 10 March 1987

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That StephanieMalowany Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 21, 1923

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

Based on document of birth and baptism from records at Holy Effort (?) Church enclosed

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