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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000667

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of PeterMaryniak Sex Male

Date of Birth May 13, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Mychayla Maryniak MAIDEN NAME of Mother Maria Pauluk

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

Occupation of Father at Birth of child Steel Plant Place of birth of Father Ukraine

Race Name and present address of Physician in attendance at birth

Signature of Applicant P. Maryniak Address of Applicant 42 Breton Street, Sydney, Cape Breton Co., NS Date 1 May 1980

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That PeterMaryniak Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 13, 1924

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

Baptism certificate

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