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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100344

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 22, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Malcolm Mack MAIDEN NAME of Mother Marie Fullerton

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret F. Crosby Address of Applicant High River, Alberta Date June 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret Esther FullertonMack

Born at Halifax in the County of Halifax

That Margaret Esther FullertonMack Whose Birth is sought to be registered was

born at Halifax Halifax County on September 22, 1920

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

As informed by my legal parents

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