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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000613

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 12, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Shaheen MAIDEN NAME of Mother Elizabeth Hanna

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

Residence of Father when child was born 643 Victoria Road, Sydney, Cape Breton Co., NS Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Alice MacDonald Address of Applicant RR #2, East Bay, Cape Breton Co., NS Date 15 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Alice JosephShaheen

Born at Sydney in the County of Cape Breton

That Mary Alice JosephShaheen Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 12, 1924

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

Church record at time of birth and baptism

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