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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703889

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret AnnaNickerson Sex Female

Date of Birth December 14, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father John M. Nickerson MAIDEN NAME of Mother Jennie M. Little

Residence of Father when child was born Yarmouth Present address of Father Yarmouth

Occupation of Father at Birth of child Barber Place of birth of Father Argyle Sound

Race English Name and present address of Physician in attendance at birth

Signature of Applicant Jennie M, Nickerson Address of Applicant Yarmouth Date October 26, 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret AnnaNickerson

Born at Yarmouth in the County of Yarmouth

That Margaret AnnaNickerson Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on December 14, 1920

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

I am the mother of Margaret Anna Nickerson

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