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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000565

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 17, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Wilfred Jamieson Ripley MAIDEN NAME of Mother  Eastwood

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

Residence of Father when child was born 36 Peters Road, Sydney Present address of Father 281 John Street, Sudbury, Ontario

Occupation of Father at Birth of child Engineer Place of birth of Father Nappan, Cumberland Co.

Race Canadian Name and present address of Physician in attendance at birth

Signature of Applicant W. J. Ripley Address of Applicant 281 John Street, Sudbury, Ontario Date 12 September 1971

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary EastwoodRipley Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 17, 1920

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

1. I am her father and have personal knowledge. 2. I hereby produce her Baptismal certifice dated December 28th, 1920

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