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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000733

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nora GertrudeHiggins Sex

Date of Birth December 31, 1924 Place of Birth StellartonCounty of Pictou

Name of Father Herbert James Higgins MAIDEN NAME of Mother Alice Jane Stevenson

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father St. John's, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Nora Bushulak Address of Applicant 19 Belmont Avenue, Stellarton, Pictou Co., NS Date 12 April 1982

Relationship of Applicant to child One and the same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nora GertrudeHiggins

Born at Stellarton in the County of Pictou

That Nora GertrudeHiggins Whose Birth is sought to be registered was

born at Stellarton Pictou County on December 31, 1924

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

Certificate of birth and baptism

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