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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000614

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 10, 1921 Place of Birth GraywoodCounty of Annapolis

Name of Father Holly Mailman MAIDEN NAME of Mother Sarah Mailman

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

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

Occupation of Father at Birth of child Place of birth of Father Graywood

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

Signature of Applicant Mary Warren Address of Applicant 27 Cavendish Rd. Moncton, New Brunswick Date October 6, 1974

Relationship of Applicant to child same

AFFIDAVIT

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

Born at Graywood in the County of Annapolis

That Mary MatildaMailman Whose Birth is sought to be registered was

born at Graywood Annapolis County on June 10, 1921

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

1) Census record for June 1, 1921 does not show any record of child 2) Census record for June 1, 1931 shows age of 10 years and for 1941 of 20 years.

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