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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100130

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 8, 1921 Place of Birth PasschendaeleCounty of Cape Breton

Name of Father Hibert Livingstone MAIDEN NAME of Mother Catherine MacPhee

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

Residence of Father when child was born Dominion No 4 Present address of Father dead

Occupation of Father at Birth of child Coal Miner Place of birth of Father Dominion No 4

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Pauline Bedford Address of Applicant Alexander Road, Aylmer, Quebec Date October 16, 1985

Relationship of Applicant to child Same one same person

AFFIDAVIT

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

Born at Passchendaele in the County of Cape Breton

That Mary PaulineLivingstone Whose Birth is sought to be registered was

born at Passchendaele Cape Breton County on September 8, 1921

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

My certificate of baptism, as issued by St-Anthonys Church, 20 Dominion St. Dominion 4 Passchendaele Nova Scotia

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