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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500224

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 3, 1919 Place of Birth SpringhillCounty of Cumberland

Name of Father George Frederick Riley MAIDEN NAME of Mother Mary McMenaman

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

Residence of Father when child was born Springhill Present address of Father

Occupation of Father at Birth of child Coal miner Place of birth of Father Westmoreland, NB

Race Name and present address of Physician in attendance at birth Dr. M.J. Wardrope

Signature of Applicant George Frederick Riley Address of Applicant Springhill Date 12 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Springhill in the County of Cumberland

That Mary ElizabethRiley Whose Birth is sought to be registered was

born at Springhill Cumberland County on December 3, 1919

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

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