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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100108

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Agnes MariaNicholson Sex

Date of Birth May 23, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father John W.  Nicholson MAIDEN NAME of Mother Martha  MacDonald

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Seaman Place of birth of Father Point Aconi, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ray F. McNeil Address of Applicant 406 Purves Street, North Sydney Date February 2, 1981

Relationship of Applicant to child Friend of the father and longtime neighbour

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Agnes MariaNicholson

Born at North Sydney in the County of Cape Breton

That Agnes MariaNicholson Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on May 23, 1920

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

Longtime friend of the family and neighbor.

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