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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000315

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 15, 1920 Place of Birth FairviewCounty of Halifax

Name of Father William Ambrose Johnson MAIDEN NAME of Mother Helen J. Isnor

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

Residence of Father when child was born Fairview Present address of Father deceased

Occupation of Father at Birth of child Teamster Place of birth of Father Halifax County

Race English Name and present address of Physician in attendance at birth L. J. O'Shaughnessy

Signature of Applicant Mrs. Helen J. Johnson Address of Applicant Date 20 July 1959

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Fairview in the County of Halifax

That Margaret GraceJohnson Whose Birth is sought to be registered was

born at Fairview Halifax County on May 15, 1920

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

I am her mother. Originally registered as June 1, 1920

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