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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000465

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 7, 1921 Place of Birth Cow BayCounty of Halifax

Name of Father Arthur Mosher MAIDEN NAME of Mother Hazel Conrad

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Cow Bau

Race German Name and present address of Physician in attendance at birth Mrs. Gill

Signature of Applicant Mary H. Sibley Address of Applicant Meaghers Grant Date July 20, 1971

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Cow Bay in the County of Halifax

That Mary HelenMosher Whose Birth is sought to be registered was

born at Cow Bay Halifax County on February 7, 1921

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

Baptism Certificate

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