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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000733

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 8, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Joseph McGillivary MAIDEN NAME of Mother Christina McMullin

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

Residence of Father when child was born 656 David Street, Glace Bay, Cape Breton Present address of Father 656 David Street, Glace Bay, Cape Breton

Occupation of Father at Birth of child Miner Place of birth of Father Glace Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Isabel McKinnon Address of Applicant 189 Sheridan Street, Brantford, Ontario Date 8 March 1979

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary IsabelMcGillivary Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 8, 1922

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

Information received from my parents while living. I am one and the same person as the said Mary Isabel McGillivary.

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