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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700270

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 10, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father James Henry Quirk MAIDEN NAME of Mother Norah Bransfield

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 Grocer Place of birth of Father Sussex, NB

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

Signature of Applicant Norah Quirk Address of Applicant Sydney Date 25 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary NorahQuirk Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 10, 1919

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

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