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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000874

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marguerite NormaGould Sex Female

Date of Birth July 8, 1924 Place of Birth AmherstCounty of Cumberland

Name of Father Thaddie Gould MAIDEN NAME of Mother Dora Lirette

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

Residence of Father when child was born 32 Douglas Ave. Amherst Present address of Father deceased

Occupation of Father at Birth of child Foundry Worker Place of birth of Father Barachois, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marguerite Norma MacKenzie Address of Applicant 11 Abbott St. Amherst Date July 7, 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marguerite NormaGould

Born at Amherst in the County of Cumberland

That Marguerite NormaGould Whose Birth is sought to be registered was

born at Amherst Cumberland County on July 8, 1924

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

- I have always celebrated this July 8, 1924 date and year as my date and year of birth - All records indicate this as the date and year of my birth

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