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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000989

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MargueriteKavanagh Sex Female

Date of Birth November 26, 1923 Place of Birth Scotch LakeCounty of Cape Breton

Name of Father Thomas Kavanagh MAIDEN NAME of Mother Sara I. Walker

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

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

Occupation of Father at Birth of child Quarry Worker Place of birth of Father Cape North, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marguerite Jessome Address of Applicant 77 Johnson Road, Cape Breton Co., NS Date 29 April 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MargueriteKavanagh

Born at Scotch Lake in the County of Cape Breton

That MargueriteKavanagh Whose Birth is sought to be registered was

born at Scotch Lake Cape Breton County on November 26, 1923

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

Certificate of Birth & Baptism

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