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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000412

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 22, 1920 Place of Birth Hillside BoulardarieCounty of Cape Breton

Name of Father WIlliam S. MacRae MAIDEN NAME of Mother Catherine Morris

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

Residence of Father when child was born Hillside Boularderie Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Middle River

Race Scottish Name and present address of Physician in attendance at birth Dr. Gouthro, Little bras d'Or

Signature of Applicant - Rose Address of Applicant Dartmouth Date April 13, 1960

Relationship of Applicant to child none

AFFIDAVIT

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

Born at Hillside Boulardarie in the County of Cape Breton

That John DonaldMacRae Whose Birth is sought to be registered was

born at Hillside Boulardarie Cape Breton County on August 22, 1920

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

Certificate of Baptism by Clerk of Session, Boularderie Congregation of the Presbyterian Church in Canada.

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