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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100145

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary EileenGallivan Sex

Date of Birth October 28, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father William Gallivan MAIDEN NAME of Mother Cleophas McGillivary

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ted Delehanty Address of Applicant 96 Acadian Mill Drive, Bedford, Halifax Date 25 January 1999

Relationship of Applicant to child Son in Law

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary EileenGallivan Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 28, 1922

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

Baptism certificate and marriage extract

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