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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000827

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary CatherineMacPherson Sex

Date of Birth October 25, 1920 Place of Birth BuleyCounty of Antigonish

Name of Father   MAIDEN NAME of Mother Mamie Winnona MacPherson

Were the Parents married at the time of the Birth?

Residence of Father when child was born Present address of Father

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

Race Canadian Name and present address of Physician in attendance at birth Dr. MacPherson, Dead

Signature of Applicant Mamie Winnona MacPherson Address of Applicant Isaac's Harbour Date March 7, 1966

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Buley in the County of Antigonish

That Mary CatherineMacPherson Whose Birth is sought to be registered was

born at Buley Antigonish County on October 25, 1920

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

That the applicant is my daughter.

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