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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600264

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 29, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father Carl P. Matheson MAIDEN NAME of Mother Blanch N. Zinck

Residence of Father when child was born Dartmouth Present address of Father Dartmouth

Occupation of Father at Birth of child Accountant Place of birth of Father Springhill, Cumberland Co.

Race Scottish Name and present address of Physician in attendance at birth Dr. Burris, Dartmouth

Signature of Applicant C. Matheson Address of Applicant Dartmouth Date 20 March 1935

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Dartmouth in the County of Halifax

That Mary RachaelMatheson Whose Birth is sought to be registered was

born at Dartmouth Halifax County on March 29, 1920

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

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