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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000419

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion HelenGay Sex Female

Date of Birth October 7, 1921 Place of Birth DartmouthCounty of Halifax

Name of Father Thomas Sidney Gay MAIDEN NAME of Mother Jean Lillian Moir

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

Residence of Father when child was born Dartmouth Present address of Father deceased

Occupation of Father at Birth of child Painter Place of birth of Father Tufts Cove

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

Signature of Applicant Sharon Allen Address of Applicant Armview Towers, Halifax Date December 31, 1969

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion HelenGay

Born at Dartmouth in the County of Halifax

That Marion HelenGay Whose Birth is sought to be registered was

born at Dartmouth Halifax County on October 7, 1921

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

Baptismal

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