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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000513

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irelean MargueriteMailman Sex Female

Date of Birth August 12, 1920 Place of Birth Brookfield MinesCounty of Queens

Name of Father Oliver Eugene Mailman MAIDEN NAME of Mother Myrtle Viola Weirs

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

Residence of Father when child was born Brookfield Mines Present address of Father North Brookfield

Occupation of Father at Birth of child Labourer Place of birth of Father Brookfield Mines

Race White Name and present address of Physician in attendance at birth Dr. J.B. March, deceased

Signature of Applicant Myrtle V. Mailman Address of Applicant North Brookfield Date May 4, 1970

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irelean MargueriteMailman

Born at Brookfield Mines in the County of Queens

That Irelean MargueriteMailman Whose Birth is sought to be registered was

born at Brookfield Mines Queens County on August 12, 1920

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

by being the mother of the child and by attached documents

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