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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000188

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John DonaldMacIsaac Sex Male

Date of Birth October 12, 1920 Place of Birth InvernessCounty of Inverness

Name of Father Joseph Archie MacIsaac MAIDEN NAME of Mother Mary Jessie McDonald

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

Residence of Father when child was born Inverness Present address of Father Waltham, Massachusetts, USA

Occupation of Father at Birth of child Miner Coal Place of birth of Father Pennsylvania, USA

Race Scottish Name and present address of Physician in attendance at birth Dr. MacMaster (deceased)

Signature of Applicant John Donald MacIsaac Address of Applicant 9 Cedar St. Pictou Date January 9, 1953

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John DonaldMacIsaac

Born at Inverness in the County of Inverness

That John DonaldMacIsaac Whose Birth is sought to be registered was

born at Inverness Inverness County on October 12, 1920

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

On Certificate of Baptism

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