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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100140

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie ElizabethWilkinson Sex Female

Date of Birth October 12, 1920 Place of Birth BroadwayCounty of Pictou

Name of Father John Robert Wilkinson MAIDEN NAME of Mother Jessie Ann Chisholm

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

Residence of Father when child was born Broadway, Pictou Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie Elizabeth Curley Address of Applicant Box 5, Lorne Street, New Glasgow Date 29 September 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie ElizabethWilkinson

Born at Broadway in the County of Pictou

That Jessie ElizabethWilkinson Whose Birth is sought to be registered was

born at Broadway Pictou County on October 12, 1920

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

I have enclosed a birth and baptism certificate from father MacGillivary from St. Margaret's Parish, Arisaig

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