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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000932

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MayolaBundy Sex Female

Date of Birth June 18, 1920 Place of Birth Cherry BrookCounty of Halifax

Name of Father James Bundy MAIDEN NAME of Mother Bessie  Sparks

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

Residence of Father when child was born Cherry Brook Present address of Father deceased

Occupation of Father at Birth of child Driver Place of birth of Father Cherry Brook

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mayola Mansfield Address of Applicant Dartmouth Date August 28, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MayolaBundy

Born at Cherry Brook in the County of Halifax

That MayolaBundy Whose Birth is sought to be registered was

born at Cherry Brook Halifax County on June 18, 1920

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

Baptismal Certificate National Registry Record Family Bible

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