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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000174

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of CatherineNicholson Sex Female

Date of Birth December 19, 1924 Place of Birth DominionCounty of Cape Breton

Name of Father Paul Nicholson MAIDEN NAME of Mother Mary Anne MacNeil

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

Residence of Father when child was born Dominion, Cape Breton Co., NS Present address of Father 93 Brook Street, Dominion, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Sydney Mines, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Paul Nicholson Address of Applicant 93 Brook street, Dominion, Cape Breton Co., NS Date 25 June 1956

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Dominion in the County of Cape Breton

That CatherineNicholson Whose Birth is sought to be registered was

born at Dominion Cape Breton County on December 19, 1924

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

Personal knowledge and certification from the records of Immaculate Conception Church

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