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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000967

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 27, 1922 Place of Birth St. Margarets VillageCounty of Cape Breton

Name of Father James Burton MAIDEN NAME of Mother Sarah McLellan

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

Residence of Father when child was born St. Margarets Village, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father St. Margarets Village, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary F. MacDonald Address of Applicant North Sydney, Cape Breton Date 6 March 1984

Relationship of Applicant to child Cousin

AFFIDAVIT

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

Born at St. Margarets Village in the County of Cape Breton

That Mary FlorenceBurton Whose Birth is sought to be registered was

born at St. Margarets Village Cape Breton County on February 27, 1922

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

I am a cousin of Mary Florence Burton and I am aware of the date of her birth as we were brought up together

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