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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000543

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 2, 1921 Place of Birth Mill CreekCounty of Cape Breton

Name of Father Pat Pedergast MAIDEN NAME of Mother Florence McIntyre

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

Residence of Father when child was born Mill Creek Present address of Father deceased

Occupation of Father at Birth of child coal miner Place of birth of Father Mill Creek

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

Signature of Applicant Margaret Mary McNeil Address of Applicant Bras d'Or Date February 28, 1974

Relationship of Applicant to child applicant and child the same person

AFFIDAVIT

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

Born at Mill Creek in the County of Cape Breton

That Margaret MaryPendergast Whose Birth is sought to be registered was

born at Mill Creek Cape Breton County on August 2, 1921

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

The Certificate of Baptism of St. Josephs Parish Bras d'Or, enclosed.

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