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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100001

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred MayMahoney Sex Female

Date of Birth June 29, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father James Mahoney MAIDEN NAME of Mother May Ferguson

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 Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Patricia L. Ranahon Address of Applicant 12 Shoreview Dr. Bedford Date January 13, 1983

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred MayMahoney

Born at Halifax in the County of Halifax

That Mildred MayMahoney Whose Birth is sought to be registered was

born at Halifax Halifax County on June 29, 1921

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

Baptism Certificate Marriage Certificate

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