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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000363

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Melvin WoodrowWilson Sex Male

Date of Birth May 6, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Norman Wilson MAIDEN NAME of Mother Mary Flora MacDonald

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 Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Kennington Cove, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Flora Wilson Address of Applicant 46 York Street, Glace Bay, Cape Breton Co., NS Date 12 September 1969

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Melvin WoodrowWilson

Born at Glace Bay in the County of Cape Breton

That Melvin WoodrowWilson Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 6, 1923

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

I am the mother of Melvin Woodrow Wilson

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