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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000312

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 6, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father William Francis Gray MAIDEN NAME of Mother Matilda Lavinia O'Toole

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

Residence of Father when child was born Halifax Present address of Father deceased

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

Race English Name and present address of Physician in attendance at birth Dr. A. I. Mader

Signature of Applicant Mary M. Gray Address of Applicant 119 Windsor Street, Halifax Date 28 May 1959

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Mary MonicaGray Whose Birth is sought to be registered was

born at Halifax Halifax County on October 6, 1920

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

Baptism certificate. School record.

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