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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700055

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 29, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father William Robert Thompson MAIDEN NAME of Mother Annie Maud Scott

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

Residence of Father when child was born Sydney Present address of Father 473 Charlotte St.

Occupation of Father at Birth of child Teamster Place of birth of Father Suffolk, PEI

Race Name and present address of Physician in attendance at birth Dr. MacAulay

Signature of Applicant William Robert Thompson Address of Applicant 473 Charlotte St. Date 20 January 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary DoloresThompson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 29, 1919

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

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