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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700177

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MartinChristie Sex Male

Date of Birth December 22, 1919 Place of Birth MillvilleCounty of Cape Breton

Name of Father Martin Christie MAIDEN NAME of Mother Margaret Ann Gardine

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Cape North, Cape Breton

Race Name and present address of Physician in attendance at birth Dr. H. MacDonald

Signature of Applicant Margaret Ann Christie Address of Applicant Millville Date 11 February1920

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Millville in the County of Cape Breton

That MartinChristie Whose Birth is sought to be registered was

born at Millville Cape Breton County on December 22, 1919

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

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