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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000375

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 21, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Paul Short MAIDEN NAME of Mother Sarah Campbell

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

Residence of Father when child was born Sydney Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Boiler Man Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah Short Address of Applicant 546 Alexandra Street, Sydney, Cape Breton Co., NS Date 13 January 1970

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Margaret GenevieveShort Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 21, 1923

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

That I am the mother of the said child and know the birth date and a baptismal certificate also verifies my personal knowledge

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