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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700043

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EricMcCormick Sex Male

Date of Birth March 2, 1923 Place of Birth DominionCounty of Cape Breton

Name of Father John E. McCormick MAIDEN NAME of Mother Sarah McDonald

Residence of Father when child was born Dominion, Cape Breton Co., NS Present address of Father Dominion, Cape Breton Co., NS

Occupation of Father at Birth of child Car Inspector, Sydney & Louisbourg Railway Place of birth of Father Grand Mira, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. John E. McCormick Address of Applicant 41 Dominion Street, Dominion, Cape Breton Co., NS Date 4 July 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EricMcCormick

Born at Dominion in the County of Cape Breton

That EricMcCormick Whose Birth is sought to be registered was

born at Dominion Cape Breton County on March 2, 1923

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

That I am the mother of Eric McCormick. Recorded in the church records of the Catholic Church, Dominion, Cape Breton Co., NS

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