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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100284

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 26, 1920 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Edward Smith MAIDEN NAME of Mother Mary Ann McNeil

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

Residence of Father when child was born Reserve Mines Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Reserve Mines

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Margaret McLean Address of Applicant Glace Bay Date October 15, 1984

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That Mary MargaretSmith Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on February 26, 1920

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

I've known her all my life.

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