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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000525

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 5, 1921 Place of Birth Halfway CoveCounty of Guysborough

Name of Father William Henry Worth MAIDEN NAME of Mother Este Abigail Bond

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

Residence of Father when child was born Halfway Cove Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Halfway Cove

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

Signature of Applicant Mary Gertrude Worth Address of Applicant Halfway Cove Date August 10, 1973

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halfway Cove in the County of Guysborough

That Mary GertrudeWorth Whose Birth is sought to be registered was

born at Halfway Cove Guysborough County on December 5, 1921

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

Baptismal Certificate

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