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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000198

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 24, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Clarence Shaw MAIDEN NAME of Mother Sadie Leahey

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Glace Bay, Cape Breton

Occupation of Father at Birth of child Locomotive Fireman Place of birth of Father Main-a-Dieu, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Catherine Shaw Address of Applicant Glace Bay, Cape Breton Date 5 November 1955

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Margaret CatherineShaw Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 24, 1922

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

It is the date shown on the certificate of birth and baptism attached herewith.

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