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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000266

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis JosephMacDonald Sex

Date of Birth August 31, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Archibald MacDonald MAIDEN NAME of Mother Sara MacNeil

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 Coal Miner Place of birth of Father Mira

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. Allister Calder, M.D.

Signature of Applicant Archibald MacDonald Address of Applicant 11 Reidville (Street), Glace Bay Date October 4, 1956

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Francis JosephMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 31, 1920

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

I am the father of Francis Joseph MacDonald and was living at home at the time of his birth

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