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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600614

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mae ElizabethGoodwin Sex Female

Date of Birth June 22, 1921 Place of Birth Tyndal Road, AmherstCounty of Cumberland

Name of Father Malcolm Goodwin MAIDEN NAME of Mother Cora Elizabeth Chapman

Residence of Father when child was born Tyndal Road, Amherst, Cumberland Co., NS Present address of Father Truemanville, Cumberland Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Port Elgin, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs Melvina Chapman Address of Applicant Baie Verte, New Brunswick Date 29 April 1939

Relationship of Applicant to child Grandmother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mae ElizabethGoodwin

Born at Tyndal Road, Amherst in the County of Cumberland

That Mae ElizabethGoodwin Whose Birth is sought to be registered was

born at Tyndal Road, Amherst Cumberland County on June 22, 1921

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

I am the father of the above Mae Elizabeth Goodwin and remember the date of his birth as stated above, and I was at home at the time. (Signed Malcolm Goodwin)

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