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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000948

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 23, 1921 Place of Birth DartmouthCounty of Halifax

Name of Father Parker Thomas MAIDEN NAME of Mother Muriel Canning

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

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

Occupation of Father at Birth of child Place of birth of Father Halifax County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary M. Conrod Address of Applicant RR1 Waverley Date November 23, 1981

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Martha EvelynThomas

Born at Dartmouth in the County of Halifax

That Mary Martha EvelynThomas Whose Birth is sought to be registered was

born at Dartmouth Halifax County on May 23, 1921

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

Baptismal Extract from marriage record

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