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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000424

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 3, 1924 Place of Birth White PointCounty of Victoria

Name of Father Richard Petrie MAIDEN NAME of Mother Annie Dunphy

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

Residence of Father when child was born White Point, Victoria Co., NS Present address of Father Neil's Harbour, Victoria Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Neil's Harbour, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Susan Boudreau Address of Applicant 5178 Morris Street, Halifax, NS Date 10 April 1974

Relationship of Applicant to child Daughter

AFFIDAVIT

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

Born at White Point in the County of Victoria

That Mary CatherinePetrie Whose Birth is sought to be registered was

born at White Point Victoria County on November 3, 1924

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

Baptismal certificate

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