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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700571

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nicholas HaroldCummings Sex Male

Date of Birth October 10, 1919 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Joseph Cummings MAIDEN NAME of Mother Henrietta Burke

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

Residence of Father when child was born Lingan Present address of Father

Occupation of Father at Birth of child Carpenter Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth Mrs. E. Burke, midwife

Signature of Applicant Joseph Cummings Address of Applicant Lingan Date 24 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nicholas HaroldCummings

Born at New Waterford in the County of Cape Breton

That Nicholas HaroldCummings Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on October 10, 1919

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

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