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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000425

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Morris JamesAndueza Sex Male

Date of Birth January 24, 1924 Place of Birth Anderson's PointCounty of Cape Breton

Name of Father Louis Andueza MAIDEN NAME of Mother Josephine Pinaud

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

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

Occupation of Father at Birth of child Miner Place of birth of Father St. Pierre & Miquelon

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rose Kumornik Address of Applicant 523 Parkside Drive, Waterloo, Ontario Date 9 April 1974

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Morris JamesAndueza

Born at Anderson's Point in the County of Cape Breton

That Morris JamesAndueza Whose Birth is sought to be registered was

born at Anderson's Point Cape Breton County on January 24, 1924

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

I am the sister of the said Morris James Andueza, I am eight years older than the said Morris James Andueza and I recall the facts surrounding his birth and the date thereof

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