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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000441

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 23, 1921 Place of Birth DominionCounty of Cape Breton

Name of Father Peter Goldie MAIDEN NAME of Mother Elizabeth Campbell

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

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

Occupation of Father at Birth of child Mine Place of birth of Father Lanarkshire, Scotland

Race Scottish Name and present address of Physician in attendance at birth Dr. Leibow

Signature of Applicant Marilyn O'Brien Address of Applicant 6 Ford St. Fairview Date October 13, 1970

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret Florence Goldie

Born at Dominion in the County of Cape Breton

That Margaret Florence Goldie Whose Birth is sought to be registered was

born at Dominion Cape Breton County on July 23, 1921

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

Baptismal Certificate

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