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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000974

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 16, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel Rafferty MAIDEN NAME of Mother Gladys Ling

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 Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Victoria Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Gladys Rafferty Address of Applicant 662 David Street, Glace Bay, Cape Breton Date 30 April 1984

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That MargaretRafferty Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 16, 1922

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

I am the mother of Margaret Rafferty and I am enclosing a certificate of baptism and birth from St. Annes Parish, Glace Bay, Cape Breton

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