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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000216

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 20, 1921 Place of Birth SpringhavenCounty of Yarmouth

Name of Father Benjamin Trefry MAIDEN NAME of Mother Gertrude Mae Cook

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

Residence of Father when child was born Springhaven Present address of Father Brooklyn

Occupation of Father at Birth of child Farmer Place of birth of Father Springhaven

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

Signature of Applicant Mary Beryl Elizabeth Melanson Address of Applicant Springhaven Date February 6, 1956

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Beryle ElizabethTrefry

Born at Springhaven in the County of Yarmouth

That Mary Beryle ElizabethTrefry Whose Birth is sought to be registered was

born at Springhaven Yarmouth County on July 20, 1921

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

Family Bible Records and Baptism Certificate are attached

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