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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000781

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 19, 1922 Place of Birth Barra HeadCounty of Richmond

Name of Father Michael Paul MAIDEN NAME of Mother Jane Peck

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

Residence of Father when child was born Barra Head, Richmond Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Barra Head, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. martha Lewis Address of Applicant Eskasoni, Cape Breton Date 31 October 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Barra Head in the County of Richmond

That MarthaPaul Whose Birth is sought to be registered was

born at Barra Head Richmond County on February 19, 1922

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

As being told by my parents and as per church document

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