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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000660

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary CatherineMacDonald Sex

Date of Birth October 1, 1920 Place of Birth Port HoodCounty of Inverness

Name of Father Angus A.  MacDonald MAIDEN NAME of Mother Stella  Poulter

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Port Hood

Race Scottish Name and present address of Physician in attendance at birth Blank

Signature of Applicant Mary Catherine Jeannette Address of Applicant 1260 Wigle Avenue, Windsor, Ont Date December 4, 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary CatherineMacDonald

Born at Port Hood in the County of Inverness

That Mary CatherineMacDonald Whose Birth is sought to be registered was

born at Port Hood Inverness County on October 1, 1920

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

Baptismal Certificate of the Parish Priest of St. Peter's Church, Port Hood and Certificate being attached hereto.

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