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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700093

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olive EllenorVickers Sex Female

Date of Birth December 19, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Harry Vickers MAIDEN NAME of Mother Mary E. Forrish

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

Residence of Father when child was born Sydney Mines Present address of Father Vickers Lane

Occupation of Father at Birth of child Miner Place of birth of Father Sydney Mines

Race Name and present address of Physician in attendance at birth Mrs. Elizabeth Coops

Signature of Applicant Mary E. Vickers Address of Applicant Sydney Mines Date 16 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olive EllenorVickers

Born at Sydney Mines in the County of Cape Breton

That Olive EllenorVickers Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on December 19, 1919

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

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