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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93100096

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MalcolmMacIntyre Sex Male

Date of Birth October 21, 1920 Place of Birth West Bay RoadCounty of Inverness

Name of Father Rod MacIntyre MAIDEN NAME of Mother Annie Chisholm

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

Residence of Father when child was born West Bay Road Present address of Father West Bay Road

Occupation of Father at Birth of child Blacksmith Place of birth of Father McIntyre Mountain, Inverness Co.

Race Scottish Name and present address of Physician in attendance at birth Dr. J. R. MacLeod, Port Hawkesbury

Signature of Applicant Rod MacIntyre Address of Applicant West Bay Road, Inverness Co. Date 11 December 1945

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MalcolmMacIntyre

Born at West Bay Road in the County of Inverness

That MalcolmMacIntyre Whose Birth is sought to be registered was

born at West Bay Road Inverness County on October 21, 1920

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

From family records kept of our children. Certificate of baptism attached.

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