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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000344

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 27, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father Stanley T. Burrell MAIDEN NAME of Mother Ruby Gertrude Hancock

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

Residence of Father when child was born Porter Street Yarmouth Ns Present address of Father Deceased

Occupation of Father at Birth of child Railroad Conductor Place of birth of Father South Ohio, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret M. Gammon Address of Applicant RR #2, Wolfville, Kings Co., NS Date 28 March 1968

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Yarmouth in the County of Yarmouth

That Margaret MaryBurrell Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on August 27, 1923

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

Present after birth (signed Carabel Crosby)

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