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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600861

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna MaeMacDonald Sex Female

Date of Birth May 17, 1920 Place of Birth PinevaleCounty of Antigonish

Name of Father Alexander MacDonald MAIDEN NAME of Mother Sadie Chisholm

Residence of Father when child was born Pinedale Present address of Father Pinedale

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

Race Scottish Name and present address of Physician in attendance at birth William F. MacKinnon

Signature of Applicant Sadie MacDonald Address of Applicant Pinevale Date July 22, 1937

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna MaeMacDonald

Born at Pinevale in the County of Antigonish

That Anna MaeMacDonald Whose Birth is sought to be registered was

born at Pinevale Antigonish County on May 17, 1920

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

I am the mother of said Anna Mae MacDonald

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