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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 9, 1920 Place of Birth InvernessCounty of Inverness

Name of Father Lewis MacIsaac MAIDEN NAME of Mother Margaret B. Gillis

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

Residence of Father when child was born Inverness Present address of Father Box 68 Banks Rd. Inverness

Occupation of Father at Birth of child Miner Place of birth of Father Inverness

Race Scottish Canadian Name and present address of Physician in attendance at birth Dr. J.A. Proudfoot, (deceased) Inverness

Signature of Applicant Mrs. Lewis MacIsaac Address of Applicant Box 68 Banks Rd. Inverness Date October 18, 1950

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Inverness in the County of Inverness

That Francis XavierMacIsaac Whose Birth is sought to be registered was

born at Inverness Inverness County on October 9, 1920

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

A Baptismal Record copied from the original entry by the present pastor Rev. P.A. MacLellan, Inverness, who has custody of such records.

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