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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000003

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith CamilleDicks Sex Female

Date of Birth March 26, 1924 Place of Birth North SydneyCounty of Cape Breton

Name of Father John Edward Dicks MAIDEN NAME of Mother Mildred Pickles

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

Residence of Father when child was born Clifford Street, North Sydney Present address of Father 257 South 3rd Avenue, Mt. Vernon, NY, USA

Occupation of Father at Birth of child Electrician, Cape Breton Light Co. Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mildred Dicks Address of Applicant 257 South 3rd Avenue, Mt. Vernon, NY, USA Date 6 August 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith CamilleDicks

Born at North Sydney in the County of Cape Breton

That Edith CamilleDicks Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on March 26, 1924

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

Born in private house at corner of Margaret and Clifford Streets at 5:30pm on Friday, March 26, 1924. Midwife attended. Mrs. J. Evans lived on Margaret Street also. Mrs. Mildred Dicks are the mother of Edith Camilla Dicks

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