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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000455

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry JamesOrkish Sex Male

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

Name of Father Frank Orkish MAIDEN NAME of Mother Nellie Sezwchuk

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 Henry J. Orkish Address of Applicant 70 Lingan Road, Sydney, Cape Breton Co., NS Date 10 April 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry JamesOrkish

Born at Sydney in the County of Cape Breton

That Henry JamesOrkish Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 25, 1924

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

Baptism and marriage record

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