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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000630

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of David RoyMacDonald Sex

Date of Birth September 3, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Allan Hugh MacDonald MAIDEN NAME of Mother Catherine  MacPhee

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

Residence of Father when child was born 10th St. New Waterford Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father River Inhabitant, Inverness Co.

Race Scottish Name and present address of Physician in attendance at birth Dr. D.J. Hartigan (Deceased)

Signature of Applicant D. Roy MacDonald Address of Applicant 54 Highland Drive, Antigonish Date March 15, 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of David RoyMacDonald

Born at New Waterford in the County of Cape Breton

That David RoyMacDonald Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on September 3, 1920

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

As told by my parents.

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