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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000933

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bertha AdeleMahaney Sex Female

Date of Birth February 10, 1922 Place of Birth BirchtownCounty of Shelburne

Name of Father Maurice Mahaney MAIDEN NAME of Mother Edith Acker

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

Residence of Father when child was born Birchtown, Shelburne, SN Present address of Father Deceased

Occupation of Father at Birth of child Lumberman, Fisherman Place of birth of Father Churchover, Shelburne

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lola Belle Carscadden Address of Applicant 2 Keating Road, Halifax Date 22 April 1983

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bertha AdeleMahaney

Born at Birchtown in the County of Shelburne

That Bertha AdeleMahaney Whose Birth is sought to be registered was

born at Birchtown Shelburne County on February 10, 1922

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

Baptismal

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