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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000756

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 30, 1921 Place of Birth BridgeportCounty of Cape Breton

Name of Father James Walsh MAIDEN NAME of Mother Mary Cassie Cameron

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Carmel Walsh Address of Applicant 59 Edinburgh Rd. Kitchener, Ontario Date June 27, 1978

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Bridgeport in the County of Cape Breton

That Mary CarmelWalsh Whose Birth is sought to be registered was

born at Bridgeport Cape Breton County on December 30, 1921

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

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