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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000736

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith MayCormier Sex Female

Date of Birth June 25, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Marcellin Cormier MAIDEN NAME of Mother Annie Boutilier

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Musician Place of birth of Father Cheticamp

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edith Cormier Address of Applicant Sydney Date June 23, 1975

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith MayCormier

Born at Glace Bay in the County of Cape Breton

That Edith MayCormier Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 25, 1920

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

I have known Edith May Cormier for thirty-three years and it is common knowledge within the community that she was born in Glace Bay, Cape Breton and that she is the daughter of Marcellin Cormier and Ann Boutilier Cormier and that her true and proper name is Edith May Cormier. - Anne MacGillivray

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