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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000785

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel FrancesMacNeil Sex Female

Date of Birth March 9, 1922 Place of Birth AntigonishCounty of Antigonish

Name of Father Neil MacNeil MAIDEN NAME of Mother Mary Jane Somers

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

Residence of Father when child was born Post Road, Antigonish Present address of Father Deceased

Occupation of Father at Birth of child Boilermaker Place of birth of Father Walla Walla, Washington, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel Frances MacNeil Address of Applicant 50 Brookland Street, Antigonish Date 30 November 1979

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel FrancesMacNeil

Born at Antigonish in the County of Antigonish

That Mabel FrancesMacNeil Whose Birth is sought to be registered was

born at Antigonish Antigonish County on March 9, 1922

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

Proof of a valid Baptism certificate as recorded in the files of St. Ninians Cathedral, St. Ninian Street, Antigonish

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