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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600267

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary FlorenceMcDougall Sex Female

Date of Birth July 6, 1920 Place of Birth InvernessCounty of Inverness

Name of Father Hugh Daniel McDougall MAIDEN NAME of Mother Anne McNeill

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

Residence of Father when child was born Inverness Present address of Father deceased

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

Race Celtic Name and present address of Physician in attendance at birth Dr. D. J. McMaster, Antigonish

Signature of Applicant Anne McDougall Address of Applicant Drumheller, Alberta Date 16 August 1934

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary FlorenceMcDougall

Born at Inverness in the County of Inverness

That Mary FlorenceMcDougall Whose Birth is sought to be registered was

born at Inverness Inverness County on July 6, 1920

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

That I am her mother and I was living at Inverness in the County of Inverness in the Province of Nova Scotia at the date of her birth.

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