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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000783

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marian CatherineMayo Sex Female

Date of Birth October 23, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Thomas Mayo MAIDEN NAME of Mother Dorothea Power

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

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

Occupation of Father at Birth of child Dockyard Worker Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Carol Countway Address of Applicant Goodwood Date January 29, 1979

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marian CatherineMayo

Born at Halifax in the County of Halifax

That Marian CatherineMayo Whose Birth is sought to be registered was

born at Halifax Halifax County on October 23, 1921

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

Baptismal Certificate

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