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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000283

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AliceMcCormick Sex Female

Date of Birth July 8, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas McCormick MAIDEN NAME of Mother Mabel Bond

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father 725 Minto Street, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Truck Driver Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel McCormick Address of Applicant 725 Minto Street, Glace Bay, Cape Breton Co., NS Date 27 October 1962

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AliceMcCormick

Born at Glace Bay in the County of Cape Breton

That Mary AliceMcCormick Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 8, 1923

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

I am the mother of Mary Alice McCormick

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