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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000221

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph MartinKolanko Sex Male

Date of Birth December 11, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael Kolanko MAIDEN NAME of Mother Agnes Nikiel

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

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

Occupation of Father at Birth of child Steel Worker Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph M. Kolanko Address of Applicant 16 Wendell Street, Weston, Ontario Date 19 January 1960

Relationship of Applicant to child Child is applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph MartinKolanko

Born at Sydney in the County of Cape Breton

That Joseph MartinKolanko Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 11, 1924

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

I have always been told by my parents and relations, and which fact is evidenced by Certificate of Baptism for the Parish of St. Mary's, Sydney, NS

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