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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000949

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Solomon MartinDicks Sex Male

Date of Birth February 18, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Solomon Dicks MAIDEN NAME of Mother Jessie Dickson

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

Residence of Father when child was born Sydney Present address of Father Dead

Occupation of Father at Birth of child Steelplant Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Solomon Martin Dicks Address of Applicant Sydney Date December 12, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Solomon MartinDicks

Born at Sydney in the County of Cape Breton

That Solomon MartinDicks Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 18, 1920

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

I remember the date of birth of brother Solomon Martin Dicks born February 18, 1920 at 165 Victoria Road, Sydney. Brother Thomas Dicks born May 19, 1906. 59 Stanfield Street, Sydney.

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