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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000391

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of May MargaretMcFarlane Sex Female

Date of Birth May 15, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father John McFarlane MAIDEN NAME of Mother Margaret Adams

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

Residence of Father when child was born Amherst Cumberland Co. Ns Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donald Russell Address of Applicant 5 Havelock Street, Amherst, Cumberland Co., NS Date 30 June 1970

Relationship of Applicant to child Former Guardian

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of May MargaretMcFarlane

Born at Amherst in the County of Cumberland

That May MargaretMcFarlane Whose Birth is sought to be registered was

born at Amherst Cumberland County on May 15, 1923

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

A. Court Order showing birth - May 15, 1923 B. School record showing birth - May 15, 1923

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