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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000264

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edmond JohnRathusny Sex Male

Date of Birth November 25, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael Robertson MAIDEN NAME of Mother Catherine Planeta

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edmund John Ratushny Address of Applicant 60 Breton Street, Sydney, Cape Breton Co., NS Date 27 January 1964

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edmond JohnRathusny

Born at Sydney in the County of Cape Breton

That Edmond JohnRathusny Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 25, 1924

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

Bible and baptismal certification from Holy Ghost Church, Sydney, NS, verified by Rev. C. Zorsky, pastor of Holy Ghost Parish, Sydney, NS, 27 January 1964

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