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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000782

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lovey MayMacDonald Sex Female

Date of Birth August 10, 1920 Place of Birth Cherry FieldCounty of Lunenburg

Name of Father Samuel  MacDonald MAIDEN NAME of Mother Ella May Kaizer

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

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

Occupation of Father at Birth of child Woods Boss Place of birth of Father Liscomb Mills

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lovey May Chambers Address of Applicant Springfield Date April 26, 1976

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lovey MayMacDonald

Born at Cherry Field in the County of Lunenburg

That Lovey MayMacDonald Whose Birth is sought to be registered was

born at Cherry Field Lunenburg County on August 10, 1920

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

School Records Marriage Records

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