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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of NoraNichol Sex

Date of Birth December 3, 1920 Place of Birth North Sydney, Cape BretonCounty of Victoria

Name of Father Philip  Nicol MAIDEN NAME of Mother Barbara MacKenzie

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Grand Banks, Nfld.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nora Beckler Address of Applicant Chesley, Ontario Date December 15, 1980

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of NoraNichol

Born at North Sydney, Cape Breton in the County of Victoria

That NoraNichol Whose Birth is sought to be registered was

born at North Sydney, Cape Breton Victoria County on December 3, 1920

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

Certificate of Baptism

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