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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000669

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mattie Effie JuneFerguson Sex Female

Date of Birth June 27, 1922 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Norman Alexander Ferguson MAIDEN NAME of Mother Margaret Jane MacLeod

Residence of Father when child was born New Waterford, Cape Breton Co., NS Present address of Father Redwood City, California, USA

Occupation of Father at Birth of child Coal Miner Place of birth of Father Kewstoke, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rachel A. MacLeod Address of Applicant Point Aconi, Cape Breton Co., NS Date 17 March 1942

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mattie Effie JuneFerguson

Born at New Waterford in the County of Cape Breton

That Mattie Effie JuneFerguson Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on June 27, 1922

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

I was present at the home of Norman A. Ferguson when Mattie Effie June Ferguson was born.

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