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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000131

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 27, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Nesralla Neil Tomie MAIDEN NAME of Mother Gallie Caliedeb

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 Labourer Place of birth of Father Mount Lebanon

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fred Tomie Address of Applicant Sydney, Cape Breton Co., NS Date 22 April 1953

Relationship of Applicant to child Brother

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary dollyTomie Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 27, 1924

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

Copy of baptismal certificate from Saint Patrick's Church, Sydney, Cape Breton Co., NS

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