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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000644

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 13, 1920 Place of Birth Brook VillageCounty of Inverness

Name of Father Farquhar (Parker) MacDonald MAIDEN NAME of Mother Mary Elizabeth Dwyer

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

Residence of Father when child was born Brook Village Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Lake Ainslie

Race Scottish Name and present address of Physician in attendance at birth No doctor, just a Midwife

Signature of Applicant John Alphonsus MacDonald Address of Applicant Schumacher, Ontario Date June 25. 1973

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Brook Village in the County of Inverness

That John AlphonsusMacDonald Whose Birth is sought to be registered was

born at Brook Village Inverness County on July 13, 1920

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

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