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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000420

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 14, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Frederick Snow MAIDEN NAME of Mother Jane Butts

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Clarks Beach, Newfoundland

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

Signature of Applicant Mary Jane Warrack Address of Applicant 427 Waverley St. Winnipeg, Manitoba Date 22 January 1970

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary JaneSnow Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 14, 1921

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

Original copy of New Aberdeen School Record for 1927-1928 (Attached) Record of Marriage on file in Halifax

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