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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000663

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine VimyMacDonald Sex

Date of Birth April 9, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father John Joseph MacDonald MAIDEN NAME of Mother Catherine Maude Hurley

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

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

Occupation of Father at Birth of child Army Service Place of birth of Father Gardiner Mines

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Catherine Nichols Address of Applicant 185 Wallace Road, Glace Bay Date November 29, 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine VimyMacDonald

Born at Halifax in the County of Halifax

That Catherine VimyMacDonald Whose Birth is sought to be registered was

born at Halifax Halifax County on April 9, 1920

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

A Certificate of Baptism (submitted earlier).

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