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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000828

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 9, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father George Martin MAIDEN NAME of Mother Leah Jane Reader

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father St. Johns, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Willena M.M. McKillop Address of Applicant 663 David St. Glace Bay Date April 27, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Willena Margaret MayMartin

Born at Glace Bay in the County of Cape Breton

That Willena Margaret MayMartin Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 9, 1921

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

Enclosed final letter from Glace Bay General Hospital, Brookside St. Glace Bay, Certifying date of birth.

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