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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100294

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AnnNicholson Sex Female

Date of Birth September 15, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father James  Nicholson MAIDEN NAME of Mother Mary Acker

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 Coal Miner Place of birth of Father Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Ann Gadon Address of Applicant Kitchener, Ontario Date April 30, 1984

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AnnNicholson

Born at Glace Bay in the County of Cape Breton

That Mary AnnNicholson Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 15, 1920

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

I am the brother of Mary Ann Nicholson and have grown up with her since my birth and have continuously had close contact with her. - James George Nicholson

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