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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700134

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MargaretHayward Sex Female

Date of Birth December 24, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Charles Medley Hayward MAIDEN NAME of Mother Dulcie May Corbin

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

Residence of Father when child was born Glace Bay Present address of Father Dimick Building, Union St.

Occupation of Father at Birth of child Photographer Place of birth of Father St. John's, Nfld

Race Name and present address of Physician in attendance at birth Dr. E.O. McDonald

Signature of Applicant John Charles Medley Hayward Address of Applicant Dimick Building, Union St., Glace Bay Date 20 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MargaretHayward

Born at Glace Bay in the County of Cape Breton

That MargaretHayward Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 24, 1919

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

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