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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000102

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 1, 1921 Place of Birth Upper MagareeCounty of Inverness

Name of Father John Alex MacFarlane MAIDEN NAME of Mother Mary Ann Gillis

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

Residence of Father when child was born Upper Margaree Present address of Father Upper Margaree

Occupation of Father at Birth of child Farmer Place of birth of Father Upper Margaree

Race Scottish Name and present address of Physician in attendance at birth Dr. Patrick McGarry

Signature of Applicant Mary Jessie MacFarlane Address of Applicant Upper Margaree Date December 9, 1948

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Upper Magaree in the County of Inverness

That Mary JessieMacFarlane Whose Birth is sought to be registered was

born at Upper Magaree Inverness County on August 1, 1921

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

I am the applicants Mother. Certificate of birth and baptism attached.

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