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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600612

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MiriamGoed Sex Female

Date of Birth September 22, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Morris Goed MAIDEN NAME of Mother Sarah Ein

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

Residence of Father when child was born Glace Bay, Cape Breton Co. Present address of Father deceased

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

Race White Name and present address of Physician in attendance at birth Dr. A. Calder, Yorke St., Glace Bay

Signature of Applicant S. Goed Address of Applicant Glace Bay, Cape Breton Co. Date 9 May 1939

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MiriamGoed

Born at Glace Bay in the County of Cape Breton

That MiriamGoed Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 22, 1920

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

I am her mother

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