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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401428

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 31, 1906 Place of Birth DominionCounty of Cape Breton

Name of Father Robert D. Green MAIDEN NAME of Mother Margaret Jefferson

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father England

Race English Name and present address of Physician in attendance at birth Dr. Hazard

Signature of Applicant John Iverson Green Address of Applicant Dominion Date 19 February 1926

Relationship of Applicant to child brother

AFFIDAVIT

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

Born at Dominion in the County of Cape Breton

That Margaret JeanGreen Whose Birth is sought to be registered was

born at Dominion Cape Breton County on May 31, 1906

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

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