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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000401

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 29, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Haley MAIDEN NAME of Mother Clara Tracey

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Sydney, Cape Breton

Occupation of Father at Birth of child Coal Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant mary Bridget Haley Address of Applicant 28 Victoria Street, Glace Bay, Cape Breton Date 7 January 1971

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary BridgetHaley Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 29, 1922

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

It is the date shown on the attached certificate of birth and baptism taken from the records at St. Johns Church, New Aberdeen, Glace Bay, Cape Breton

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