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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000761

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel AlmedaMcCormick Sex Female

Date of Birth July 24, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas McCormick MAIDEN NAME of Mother Mabel Bond

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

Residence of Father when child was born Glace Bay, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Dominion Coal Company Place of birth of Father Glace Bay, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hazel Almeda Sherwood Address of Applicant 52 Grandview Street, Sydney, Cape Breton Co., NS Date August 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel AlmedaMcCormick

Born at Glace Bay in the County of Cape Breton

That Hazel AlmedaMcCormick Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 24, 1924

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

I am Hazel's aunt and remember the event. I was with her mother, my sister, when the child was born

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