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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000906

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 9, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Stephen MacPhee MAIDEN NAME of Mother Veronica Peterie

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child General Merchant Place of birth of Father East Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Theresa Susin Address of Applicant 86 Darnborough Way, Scarborough, Ontario Date 21 October 1982

Relationship of Applicant to child Daughter

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary AgnesMacPhee Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 9, 1922

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

- My parents told me and I always celebrated my birthday on said date - My certificate of baptism shows my birth on the said date

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