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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91501950

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence EdithMacDonald Sex Female

Date of Birth January 13, 1920 Place of Birth River JohnCounty of Pictou

Name of Father Hugh Austin MacDonald MAIDEN NAME of Mother Mildred Lang Skillin

Residence of Father when child was born River John, Pictou Co. Present address of Father Shrewsburg, Massachusetts

Occupation of Father at Birth of child Farmer Place of birth of Father River John, Pictou Co.

Race Anglo Saxon Name and present address of Physician in attendance at birth Owen H. Cameron M. D., River John

Signature of Applicant Owen H. Cameron Address of Applicant River John, Pictou Co. Date 1 April 1941

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence EdithMacDonald

Born at River John in the County of Pictou

That Florence EdithMacDonald Whose Birth is sought to be registered was

born at River John Pictou County on January 13, 1920

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

I was present at the birth as attending physician

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