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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000132

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AngeloPino Sex Male

Date of Birth March 6, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Salvatore Pino MAIDEN NAME of Mother Annie maria Congio

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

Residence of Father when child was born 162 Laurier Street, Sydney, Cape Breton Co., NS Present address of Father 162 Laurier Street, Sydney, Cape Breton Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Salvatore Pino Address of Applicant 162 Laurier Street, Sydney, Cape Breton Co., NS Date 18 May 1953

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AngeloPino

Born at Sydney in the County of Cape Breton

That John AngeloPino Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 6, 1924

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

I am his father

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