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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000638

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 1, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Simon Martin MAIDEN NAME of Mother Bridget Kirby

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

Residence of Father when child was born 248 7th Street, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Arichat, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Genevieve Libbey Address of Applicant 1723 George Street, Sydney, Cape Breton Date 11 May 1977

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary GenevieveMartin Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 1, 1922

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

1. Certificate of birth and baptism 2. Notice from the Office of the Superintendent of Schools, Glace Bay

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