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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100155

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AliceO'Connell Sex Female

Date of Birth August 8, 1920 Place of Birth South BranchCounty of Colchester

Name of Father Benjamin O'connell MAIDEN NAME of Mother Janet Grant

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

Residence of Father when child was born South Branch, Colchester Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father South Branch, Colchester Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary A. Nelson Address of Applicant 1045 College Street, Truro, Colchester Co. Date 12 February 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AliceO'Connell

Born at South Branch in the County of Colchester

That Mary AliceO'Connell Whose Birth is sought to be registered was

born at South Branch Colchester County on August 8, 1920

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

Census & National Registration

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