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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000507

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 13, 1921 Place of Birth AshmoreCounty of Digby

Name of Father Robert J. Melanson MAIDEN NAME of Mother M. Ella Gosbee

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Nova Scotia

Race Caucasian Name and present address of Physician in attendance at birth Dr. Hollett

Signature of Applicant M. Marguerite Ryan Address of Applicant 343 Essex Ave. Gloucester, Massachusetts, USA Date September 12, 1972

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Ashmore in the County of Digby

That Mary MargueriteMelanson Whose Birth is sought to be registered was

born at Ashmore Digby County on November 13, 1921

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

Upon my entrance to the Public schools of the city of Gloucester, Mass, the records state that I was born in the above location on the above date.

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