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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100312

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 12, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Jesse  Parks MAIDEN NAME of Mother Mary Wrin

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

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

Occupation of Father at Birth of child NSL&P Company Place of birth of Father February 21, 1985

Race Name and present address of Physician in attendance at birth

Signature of Applicant Timothy O'Connell Address of Applicant Truro Date February 21, 1985

Relationship of Applicant to child

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Mary MadelineParks Whose Birth is sought to be registered was

born at Halifax Halifax County on April 12, 1920

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

Baptismal Certificate

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