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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000600

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary ElizabethBabuk Sex Female

Date of Birth April 4, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father Sam Babuk MAIDEN NAME of Mother Annie Balahura

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

Residence of Father when child was born Glace Bay, Cape Breton Co., NS Present address of Father

Occupation of Father at Birth of child Coal Miner Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Romanow Address of Applicant 610 Benson Street, Nelson, British Columbia Date 31 January 1978

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary ElizabethBabuk

Born at Glace Bay in the County of Cape Breton

That Mary ElizabethBabuk Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 4, 1924

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

I am the mother of Mary Elizabeth Babuk

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