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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000701

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 25, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Lively MAIDEN NAME of Mother Margaret  Matheson

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

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

Occupation of Father at Birth of child Steelworker Place of birth of Father Mount Uniacke

Race Irish Name and present address of Physician in attendance at birth Dr. Cowper Waithe

Signature of Applicant John J. Lively Address of Applicant South Barrington Date April 16, 1974

Relationship of Applicant to child Brother

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary EvelynLively Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 25, 1920

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

I was eleven years old and fully recall her birth at our home.

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