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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000087

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernadetta AnnSullivan Sex Female

Date of Birth March 5, 1922 Place of Birth ErinvilleCounty of Guysborough

Name of Father Michael Sullivan MAIDEN NAME of Mother Mary Ellen Halloran

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

Residence of Father when child was born Erinville, Guysborough Present address of Father West Erinville, Guysborough

Occupation of Father at Birth of child Farmer Place of birth of Father West Erinville, Guysborough

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Ellen Sullivan Address of Applicant West Erinville, Guysborough Date 4 May 1949

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernadetta AnnSullivan

Born at Erinville in the County of Guysborough

That Bernadetta AnnSullivan Whose Birth is sought to be registered was

born at Erinville Guysborough County on March 5, 1922

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

I am the mother of the said child and have personal knowledge of the matter.

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