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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700191

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 17, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Neil Alexander McIntyre MAIDEN NAME of Mother Annie Chipman

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

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

Occupation of Father at Birth of child Locomotive fireman Place of birth of Father Gabarus

Race Name and present address of Physician in attendance at birth Dr. W.H. Rice

Signature of Applicant Neil Alexander McIntyre Address of Applicant Sydney Date 18 November 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary IleneMcIntyre Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 17, 1919

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

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