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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000568

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 12, 1922 Place of Birth Charlos CoveCounty of Guysborough

Name of Father Dennis Casey MAIDEN NAME of Mother Eva DeGruchy

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

Residence of Father when child was born Charlos Cove, Guysborough Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary R. McMurrer Address of Applicant 41 Farrell Street, Dartmouth Date 23 February 1976

Relationship of Applicant to child Same person

AFFIDAVIT

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

Born at Charlos Cove in the County of Guysborough

That Mary RitaCasey Whose Birth is sought to be registered was

born at Charlos Cove Guysborough County on September 12, 1922

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

Baptism records

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