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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000510

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 15, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Ogal Jennex MAIDEN NAME of Mother Emma Conrad

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Halifax

Race White Name and present address of Physician in attendance at birth Dr. MacLean

Signature of Applicant Mary E. Jennex Address of Applicant 2065 Duffcourt Apt. 312, Lachine, Quebec Date February 2, 1973

Relationship of Applicant to child Herself

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That Mary EileenJennex Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on July 15, 1921

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

Certificate of Baptism of St. Johns Anglican Church, North Sydney

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