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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600726

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 29, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father William Herbert Crosman MAIDEN NAME of Mother Jennie Isabel Halliday

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

Occupation of Father at Birth of child Garage Proprietor Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. E. Crosman Address of Applicant 752 Victoria Road, Sydney, Cape Breton Co., NS Date 18 October 1942

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary EllenCrosman Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 29, 1921

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

I am her mother

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