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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000807

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John MernillMcCormick Sex Male

Date of Birth July 6, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas McCormick MAIDEN NAME of Mother Mabel Alamada Bond

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

Residence of Father when child was born 725 Minto St. Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Dominion Coal Company Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel McCormick Address of Applicant Date February 8, 1979

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John MernillMcCormick

Born at Glace Bay in the County of Cape Breton

That John MernillMcCormick Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 6, 1921

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

I am his mother and well remember the day of my sons birth.

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