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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000057

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis JohnMacDonald Sex Male

Date of Birth August 6, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Allan John MacDonald MAIDEN NAME of Mother Margaret MacIver

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

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Carpenter Place of birth of Father River Denys

Race Scottish Name and present address of Physician in attendance at birth Dr. Dan MacNeil

Signature of Applicant Mrs. Allan J. MacDonald Address of Applicant 5 MacDougall St. Glace Bay Date May 23, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis JohnMacDonald

Born at Glace Bay in the County of Cape Breton

That Francis JohnMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 6, 1920

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

I am the mother of the child

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