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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000108

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 20, 1922 Place of Birth FlorenceCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Annie May MacLennan

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Thomas Caine Address of Applicant East Brewster, Massachusetts, USA Date July 1950

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Florence in the County of Cape Breton

That MarguriteMacLennan Whose Birth is sought to be registered was

born at Florence Cape Breton County on June 20, 1922

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

I am the mother of Marguerite MacLennan. I married Thomas Cain when my said child was about 3 years of age and she has since that time, gone under the surname Caine as my husband adopted her. (certificate from school records and letter from Rev. B. D. Earle attached)

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