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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000440

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of VirginiaDiPaolo Sex Female

Date of Birth January 30, 1924 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Anthony  DiPaolo MAIDEN NAME of Mother Catherine Williams

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Brittoli, Teramo, Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Virginia Hiltz Address of Applicant Minto, New Brunswick Date 7 November 1974

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Sydney Mines in the County of Cape Breton

That VirginiaDiPaolo Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on January 30, 1924

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

Translation of Certificate of Baptism and Birth

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