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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000096

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 12, 1923 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Thomas Henry Jessome MAIDEN NAME of Mother Elizabth Jane Coady

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Mill Creek Cape Breton Co. Ns Present address of Father Deceased (1945)

Occupation of Father at Birth of child Miner Place of birth of Father Mill Creek, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Lillian Jessome Address of Applicant Mill Creek, Cape Breton Co., NS Date 18 August 1949

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Sydney Mines in the County of Cape Breton

That Margaret LillianJessome Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on December 12, 1923

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

Baptismal records of St. Joseph's Parish, Bras d'Or (certificate enclosed)

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