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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700695

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ella MargaretLangill Sex Female

Date of Birth September 26, 1921 Place of Birth StellartonCounty of Pictou

Name of Father Percy Langill MAIDEN NAME of Mother Gertrude Works

Residence of Father when child was born Stellarton, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gertrude Langill Address of Applicant 14 Walnut Street, Woburn, Massachusetts, USA Date 30 August 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ella MargaretLangill

Born at Stellarton in the County of Pictou

That Ella MargaretLangill Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 26, 1921

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

Mother of Ella M. Langill

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