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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000733

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence CatherineNolan Sex Female

Date of Birth November 29, 1921 Place of Birth Balls CreekCounty of Cape Breton

Name of Father John Nolan MAIDEN NAME of Mother Margaret Cathern Gillis

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

Residence of Father when child was born Balls Creek Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Balls Creek

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence Catherine Nolan Address of Applicant Box 43 RR1 North Sydney Date February 11, 1978

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence CatherineNolan

Born at Balls Creek in the County of Cape Breton

That Florence CatherineNolan Whose Birth is sought to be registered was

born at Balls Creek Cape Breton County on November 29, 1921

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

Relative and known since birth Common knowledge in Community that Florence Catherine Nolan was born on a/m date. Church records which are included with this document

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