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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000569

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 23, 1920 Place of Birth Cherry BrookCounty of Halifax

Name of Father Fred Alexander Riley MAIDEN NAME of Mother Ethel Sparks

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

Residence of Father when child was born Cherry Brook, Halifax Co. Present address of Father deceased

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

Race Black Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Mrs. Mary Grant Address of Applicant 89 Vanauley Walk, Toronto, Ontario Date 20 August 1971

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Cherry Brook in the County of Halifax

That Mary GeraldineRiley Whose Birth is sought to be registered was

born at Cherry Brook Halifax County on March 23, 1920

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

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