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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800095

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret MaryClarke Sex Female

Date of Birth December 22, 1923 Place of Birth Cape DauphinCounty of Victoria

Name of Father Daniel Alexander Clarke MAIDEN NAME of Mother Catherine MacRae

Residence of Father when child was born Cape Dauphin, Victoria Co., NS Present address of Father Cape Dauphin, Victoria Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Cape Dauphin, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Daniel A. Clarke Address of Applicant Cape Dauphin, Victoria Co., NS Date 28 February 1944

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret MaryClarke

Born at Cape Dauphin in the County of Victoria

That Margaret MaryClarke Whose Birth is sought to be registered was

born at Cape Dauphin Victoria County on December 22, 1923

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

I was present at my home at the time my daughter Margaret Mary Clarke was born as I am well acquainted with circumstances surrounding her birth.

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