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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000741

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 18, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas Farrell MAIDEN NAME of Mother Martha Nadore

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Dead

Occupation of Father at Birth of child Paymaster Place of birth of Father Glace Bay, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Helen McNeil Address of Applicant 208 Cusack Drive, Sydney, Cape Breton Co., NS Date 28 June 1979

Relationship of Applicant to child Applicant

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary HelenFarrell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 18, 1923

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

I have always celebrated my birth date as of August 18, 1923

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