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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000590

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret ElizabethCarrigan Sex

Date of Birth July 8, 1920 Place of Birth Cross Roads (Ohio)County of Antigonish

Name of Father Patrick Dennis Carrigan MAIDEN NAME of Mother Mary Elizabeth Rogers

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

Residence of Father when child was born Cross Roads (Ohio) Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Cross Roads (Ohio)

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

Signature of Applicant Margaret Elizabeth Claux Address of Applicant Montague, Prince Edward Island Date may 28, 1972

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Cross Roads (Ohio) in the County of Antigonish

That Margaret ElizabethCarrigan Whose Birth is sought to be registered was

born at Cross Roads (Ohio) Antigonish County on July 8, 1920

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

Informed me by my step sister and parents. Baptismal Certificate

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