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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000393

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 24, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father John Heathcock MAIDEN NAME of Mother Ann Campbell

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

Residence of Father when child was born 51 Charlotte Street, Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Foreman - Blast Furnace Place of birth of Father Chicago, Illinois, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Quinn Address of Applicant 265 Main Square, Apt. 2412, Toronto, Ontario Date 26 June 1973

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary MargaretHeathcock Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 24, 1924

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

Attached Baptismal certificate

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