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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000717

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 2, 1924 Place of Birth WestvilleCounty of Pictou

Name of Father Arthur Joseph Hicks MAIDEN NAME of Mother Eva May MacDonald

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

Residence of Father when child was born Westville, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Bona Vista, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Doreen M. (Hicks) MacGillivray Address of Applicant New Glasgow, Pictou Co., NS Date 22 June 1981

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Westville in the County of Pictou

That DoreenHicks Whose Birth is sought to be registered was

born at Westville Pictou County on May 2, 1924

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

1. That I have known the applicant all her life 2. That her date of birth was May 2nd, 1924 3. That I clearly recall her date of birth

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