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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703104

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie AnnMacIsaac Sex Female

Date of Birth May 3, 1920 Place of Birth GlencoeCounty of Inverness

Name of Father Hugh MacIsaac MAIDEN NAME of Mother Mary Jessie MacDonald

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

Residence of Father when child was born Glencoe, Inverness Co. Present address of Father Timmins, Ontario

Occupation of Father at Birth of child Miner Place of birth of Father Glencoe, Inverness Co.

Race British Name and present address of Physician in attendance at birth P. S. Campbell M.D.

Signature of Applicant Mary Jessie MacIsaac Address of Applicant 264 Spruce Street, Timmins, Ontario Date 28 July 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie AnnMacIsaac

Born at Glencoe in the County of Inverness

That Jessie AnnMacIsaac Whose Birth is sought to be registered was

born at Glencoe Inverness County on May 3, 1920

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

I am mother of Jessie Ann MacIsaac

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