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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500194

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 28, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father James Reiley MAIDEN NAME of Mother Ina Mae Field

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

Residence of Father when child was born Amherst Present address of Father 47 Hickman St.

Occupation of Father at Birth of child Miner Place of birth of Father Springhill

Race Name and present address of Physician in attendance at birth Dr. B.E. Goodwin

Signature of Applicant Una Mae Reiley Address of Applicant 47 Hickman St. Date 16 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Margaret JeanReiley Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 28, 1919

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

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