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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000603

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 6, 1921 Place of Birth ImperoyalCounty of Halifax

Name of Father Henry Cunningham MAIDEN NAME of Mother Mary Doucette

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

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

Occupation of Father at Birth of child Imperial Oil Place of birth of Father Greenfield

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Elizabeth Deveau Address of Applicant 10 First St. Dartmouth Date December 17, 1975

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Imperoyal in the County of Halifax

That Mary ElizabethCunningham Whose Birth is sought to be registered was

born at Imperoyal Halifax County on January 6, 1921

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

Baptismal Certificate Marriage Extract

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