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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000211

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion RalphHolley Sex Female

Date of Birth January 4, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Ralph Holley MAIDEN NAME of Mother Eminah Smith

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

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 Mechanic Place of birth of Father Windsor, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marion Ralph MacLean Address of Applicant 55 Milton Street, Sydney, Cape Breton Co., NS Date 7 March 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion RalphHolley

Born at Sydney in the County of Cape Breton

That Marion RalphHolley Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 4, 1923

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

Extract from leaf of family bible and record of age when attending primary school.

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