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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000135

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emma MargueritePaulain Sex Female

Date of Birth September 1, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Alexander Poulain MAIDEN NAME of Mother Christina Cameron

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

Residence of Father when child was born 67 Mount Pleasant St. Sydney Present address of Father deceased

Occupation of Father at Birth of child Steel worker Place of birth of Father St. Pierre Miquelon

Race White Name and present address of Physician in attendance at birth Dr. W.R. McRae

Signature of Applicant Christena Keating Address of Applicant 47 Matilda St. Sydney Date December 27, 1950

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emma MargueritePaulain

Born at Sydney in the County of Cape Breton

That Emma MargueritePaulain Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 1, 1921

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

I am her Mother (Certificate from Church Records attached)

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