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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000804

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 13, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Adelaird Petrie MAIDEN NAME of Mother marguerite Roy

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

Residence of Father when child was born Artz Street, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Shipwright Place of birth of Father Bathurst, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Victor J. Therrin Address of Applicant 1141 Commercial Street, New Minas, Kings Date 28 April 1980

Relationship of Applicant to child Husband

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Mary ElizabethPetrie Whose Birth is sought to be registered was

born at Halifax Halifax County on July 13, 1922

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

Baptismal Certificate

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