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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000620

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 1, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Samuel Noseworthy MAIDEN NAME of Mother Jessie Oliphant

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

Residence of Father when child was born Sydney Present address of Father Deceased

Occupation of Father at Birth of child Engineer Place of birth of Father Conception Bay, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Address of Applicant Box 776, Invermere, British Columbia Date 2 February 1977

Relationship of Applicant to child N/A

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That MargueriteNoseworthy Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 1, 1922

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

The certificate of baptism, a notarized copy of which is attached hereto as Exhibit A

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