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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000279

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marguerite PhillisLangille Sex Female

Date of Birth October 6, 1923 Place of Birth MalagashCounty of Cumberland

Name of Father Percy Elmer Langille MAIDEN NAME of Mother Beulah Florence Langille

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

Residence of Father when child was born Malagash Cumberland Co. Ns Present address of Father 35 Westlake Avenue, Toronto, Ontario

Occupation of Father at Birth of child Hoist Man Place of birth of Father Malagash Point, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Beulah Langille Address of Applicant 35 Westlake Avenue, Toronto, Ontario Date 21 August 1962

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marguerite PhillisLangille

Born at Malagash in the County of Cumberland

That Marguerite PhillisLangille Whose Birth is sought to be registered was

born at Malagash Cumberland County on October 6, 1923

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

Affidavit from the doctor who was present at the birth of my daughter Page from family bible

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