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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000139

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 25, 1924 Place of Birth Dominion No. 1County of Cape Breton

Name of Father Ilario (Hilary) Mazzocca MAIDEN NAME of Mother Stella Mardegan

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

Residence of Father when child was born Dominion No. 4, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Merchant, Grocery Store Place of birth of Father Castel Franco, Veneto, Prov. Treviso, Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stella Mezzocca Address of Applicant RR #1, Janisse, Sandwich West Date 5 January 1954

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Dominion No. 1 in the County of Cape Breton

That SilvioMazzocca Whose Birth is sought to be registered was

born at Dominion No. 1 Cape Breton County on August 25, 1924

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

My son was born at home, the street is unknown now because at that time were seldom used (perhaps Mitchell Avenue). A certain Dr. Tomkin delivered my son. (baptism record)

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