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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000113

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Norma FauldsMcIvor Sex Female

Date of Birth November 1, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Robert McIvor MAIDEN NAME of Mother Margaret MacDonald

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

Residence of Father when child was born Glace Bay, Cape Breton Co. Present address of Father 720 Park Avenue North, Erie, Pennsylvania

Occupation of Father at Birth of child Miner Place of birth of Father Thorburn, Pictou Co.

Race White Name and present address of Physician in attendance at birth Fred Green, Glace Bay, Cape Breton Co.

Signature of Applicant Robert McIvor Address of Applicant 720 Park Avenue North, Erie, Pennsylvania Date 21 November 1948

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Norma FauldsMcIvor

Born at Glace Bay in the County of Cape Breton

That Norma FauldsMcIvor Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 1, 1920

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

I Robert McIvor am the father of Norma Faulds McIvor. Was at General Hospital, Glace Bay when she was born.

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