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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000753

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anthony StanleyOrychock Sex Male

Date of Birth April 12, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Anthony Orychock MAIDEN NAME of Mother Anastasia Hapiak

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 Anthony Stanley Orychock Address of Applicant RR #1, Sydney South Bar, Cape Breton Co., NS Date 1 May 1983

Relationship of Applicant to child Sister (Agnes Ojoleck)

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anthony StanleyOrychock

Born at Sydney in the County of Cape Breton

That Anthony StanleyOrychock Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 12, 1924

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

I am the older sister of the applicant

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