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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000568

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 29, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Fannie Roberts

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret W. MacLeod Address of Applicant Bedford, Halifax Co., NS Date 22 March 1978

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Margaret WinifredRoberts Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 29, 1924

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

Affidavit from Girls home School record

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