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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000782

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John VictorHennick Sex Male

Date of Birth November 6, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas Hennick MAIDEN NAME of Mother Mary Elizabeth Bitson

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 Austria

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Hennick Address of Applicant Lingan Road, RR #1, Sydney, Cape Breton Co., NS Date 14 April 1984

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John VictorHennick

Born at Sydney in the County of Cape Breton

That John VictorHennick Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 6, 1924

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

This is my husband's birth Baptismal

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