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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100087

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 19, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Frank Richard Fitzgerald MAIDEN NAME of Mother Mary Estelle Doherty

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

Residence of Father when child was born 139 George St. Sydney Present address of Father deceased

Occupation of Father at Birth of child Steel worker Place of birth of Father Portuguese Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Fred Jennings Address of Applicant 535 Atlantic St. Sydney Date 30 January 1985

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary EstelleFitzgerald Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 19, 1921

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

That I am applying for my Registration of Birth on the of my Baptism Certificate

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