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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000308

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 27, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father Charles Moffatt MAIDEN NAME of Mother Margaret Burke

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

Residence of Father when child was born International Street, Glace Bay, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Elizabeth Holmes Address of Applicant 176 East Avenue, North Hamilton, Ontario Date 22 March 1968

Relationship of Applicant to child Application for self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary ElizabethMorratt Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 27, 1924

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

Application for self

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