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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700017

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 7, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father John Heathcock MAIDEN NAME of Mother Annie Campbell

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

Residence of Father when child was born Sydney Present address of Father 89 Brookland St.

Occupation of Father at Birth of child Crane operator Place of birth of Father Chicago

Race Name and present address of Physician in attendance at birth Dr. S.B. Lynch

Signature of Applicant John Heathcock Address of Applicant 89 Brookland St. Date 03 January 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary GladiesHeathcock Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 7, 1919

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

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