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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100008

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 15, 1922 Place of Birth LiverpoolCounty of Queens

Name of Father Ernest Davis MAIDEN NAME of Mother Marie Jollymore

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

Residence of Father when child was born Liverpool, Queens Present address of Father Deceased

Occupation of Father at Birth of child Place of birth of Father Queens

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charlene Gaskell - Chandler Address of Applicant 7 Jamieson, Apt 104, Dartmouth Date 17 May 1985

Relationship of Applicant to child Daughter in Law

AFFIDAVIT

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

Born at Liverpool in the County of Queens

That Mary EleanorDavis Whose Birth is sought to be registered was

born at Liverpool Queens County on March 15, 1922

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

Baptismal

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