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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000052

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JessieFerguson Sex Female

Date of Birth November 17, 1922 Place of Birth InvernessCounty of Inverness

Name of Father Matt Ferguson MAIDEN NAME of Mother Sarah MacDougall

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

Residence of Father when child was born Inverness Present address of Father Inverness

Occupation of Father at Birth of child Merchant Place of birth of Father Thorburn, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Matt Ferguson Address of Applicant Inverness Date 9 February 1948

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JessieFerguson

Born at Inverness in the County of Inverness

That JessieFerguson Whose Birth is sought to be registered was

born at Inverness Inverness County on November 17, 1922

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

I am the father of the said child and was present in the home at the time of birth

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