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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000387

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 29, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Mary Tobin

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Anita McKay Address of Applicant 2 Dover Avenue, New Glasgow, Pictou Co., NS Date 29 March 1973

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary AnitaTobin Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 29, 1924

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

Baptism certificate

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