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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000442

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ElizabethMacDonald Sex Female

Date of Birth September 15, 1920 Place of Birth NyanzaCounty of Victoria

Name of Father William D. MacDonald MAIDEN NAME of Mother Annie McEachern

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

Residence of Father when child was born Nyanza Present address of Father Toronto, Ontario

Occupation of Father at Birth of child Farmer Place of birth of Father Nyanza

Race Anglo-saxon Name and present address of Physician in attendance at birth Dr. MacIver

Signature of Applicant Elizabeth MacDonald Address of Applicant North Sydney Date March 23, 1967

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ElizabethMacDonald

Born at Nyanza in the County of Victoria

That ElizabethMacDonald Whose Birth is sought to be registered was

born at Nyanza Victoria County on September 15, 1920

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

1. The record in Father's Family Bible, where my name appears as Bessie MacDonald 2. Baptismal Certificate

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