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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000679

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine VeronicaHickey Sex Female

Date of Birth October 12, 1924 Place of Birth Birch GroveCounty of Cape Breton

Name of Father John Hickey MAIDEN NAME of Mother Elizabeth Cahill

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

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

Occupation of Father at Birth of child Place of birth of Father Chapel Cove, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Hickey Address of Applicant Birch Grove, Cape Breton Co., NS Date 3 November 1924

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine VeronicaHickey

Born at Birch Grove in the County of Cape Breton

That Catherine VeronicaHickey Whose Birth is sought to be registered was

born at Birch Grove Cape Breton County on October 12, 1924

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

Registered from record no. 24-02-394352

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