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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501507

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary Matheson Sex Female

Date of Birth July 27, 1920 Place of Birth BucklawCounty of Victoria

Name of Father   MAIDEN NAME of Mother Carrie Anne Matheson

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race White Name and present address of Physician in attendance at birth Dr. H. A. Grant, Big Bras d'Or, Victoria Co.

Signature of Applicant Anne MacRitchie Address of Applicant Bucklaw, Victoria Co. Date 17 August 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Matheson

Born at Bucklaw in the County of Victoria

That Mary Matheson Whose Birth is sought to be registered was

born at Bucklaw Victoria County on July 27, 1920

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

I am the mother of the said Mary Matheson

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