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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000479

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 7, 1923 Place of Birth Harbour CentreCounty of Antigonish

Name of Father James MacIntosh MAIDEN NAME of Mother Mary Jane Floyd

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

Residence of Father when child was born Harbour Centre Antigonish Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Dunmore, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary MacIntosh Address of Applicant Antigonish, NS Date 25 September 1973

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Harbour Centre in the County of Antigonish

That Mary EileenMacIntosh Whose Birth is sought to be registered was

born at Harbour Centre Antigonish County on December 7, 1923

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

Certificate of baptism, December 9th, 1923 recorded at St. Ninian's Cathedral in Vol. Vi, page 2, no. 10 of the baptismal record.

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