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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret MaryHasey Sex Female

Date of Birth March 15, 1921 Place of Birth AntigonishCounty of Antigonish

Name of Father Dan Hasey MAIDEN NAME of Mother Mary MacKay

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

Residence of Father when child was born Browns Mountain Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Mary Pellerine Address of Applicant P.O. Box 856 Pictou Date December 1985

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret MaryHasey

Born at Antigonish in the County of Antigonish

That Margaret MaryHasey Whose Birth is sought to be registered was

born at Antigonish Antigonish County on March 15, 1921

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

I am Margaret Mary Haseys sister and also Margaret Mary Hasey is enclosing her Certificate of Baptism.

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