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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000937

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 29, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Edward Pius Phillips MAIDEN NAME of Mother Pearl Helena Connors

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Portage, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Theresa Muise Address of Applicant 21 River Road, Halifax Date 2 May 1983

Relationship of Applicant to child Same Person

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Mary TheresaPhillips Whose Birth is sought to be registered was

born at Halifax Halifax County on December 29, 1922

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

1. that the 1970 National Registration of Canada records show my birth date as December 29, 1922 2. That census records show my age as being 8 on June 1, 1931 3. That marriage records show my birth date as being 1923

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