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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000857

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 10, 1923 Place of Birth AntigonishCounty of Antigonish

Name of Father Ronald MacFarlane MAIDEN NAME of Mother Annie Jane Cameron

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

Residence of Father when child was born Antigonish Ns Present address of Father Deceased

Occupation of Father at Birth of child Section Foreman, Canadian National Railway Place of birth of Father Upper South River, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nellie M. Gilfoy Address of Applicant RR #7, Antigonish, NS Date 2 May 1983

Relationship of Applicant to child one and the same

AFFIDAVIT

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

Born at Antigonish in the County of Antigonish

That Mary MarcellaMacFarlane Whose Birth is sought to be registered was

born at Antigonish Antigonish County on May 10, 1923

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

1. Certificate of baptism from St. Ninian's Cathedral, Antigonish (previously forwarded to Deputy Registrar General)

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