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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000395

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Madge MadelineFry Sex Female

Date of Birth January 7, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Charles Fry MAIDEN NAME of Mother Mary Peddle

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 New Brunswick

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Madge M. Richardson Address of Applicant 85 Cornwallis Street, Sydney, Cape Breton Co., NS Date 23 July 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Madge MadelineFry

Born at Sydney in the County of Cape Breton

That Madge MadelineFry Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 7, 1924

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

Certificate of dedication Certificate of Baptism

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