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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000728

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of WillardMacDonald Sex

Date of Birth December 11, 1920 Place of Birth Rear Big HillCounty of Victoria

Name of Father John Malcolm MacDonald MAIDEN NAME of Mother Elizabeth Morrison

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

Residence of Father when child was born Rear Big Hill Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Rear Big Hill

Race Scottish Name and present address of Physician in attendance at birth Midwife, Deceased

Signature of Applicant Willard James MacDonald Address of Applicant R.R. #2 Baddeck Date April 10, 1973

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Rear Big Hill in the County of Victoria

That WillardMacDonald Whose Birth is sought to be registered was

born at Rear Big Hill Victoria County on December 11, 1920

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

I examined the family Bible showing date of December 11, 1920

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