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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000040

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie IsabelBraithwaite Sex Female

Date of Birth May 30, 1921 Place of Birth DonkinCounty of Cape Breton

Name of Father Cyril Baithwaite MAIDEN NAME of Mother Miran Alleyne

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

Residence of Father when child was born Donkin Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Barbados, British West Indies

Race Colored Name and present address of Physician in attendance at birth Dr. Ferguson

Signature of Applicant Miran Braithwaite Address of Applicant Donkin Date September 18, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie IsabelBraithwaite

Born at Donkin in the County of Cape Breton

That Marjorie IsabelBraithwaite Whose Birth is sought to be registered was

born at Donkin Cape Breton County on May 30, 1921

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

That I am the Mother of said Marjorie Isabel Braintwaite where marriage name is Tull

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