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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000956

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 2, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Michael MacDonald MAIDEN NAME of Mother Florence  Campbell

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 Coal Miner Place of birth of Father Port Hawkesbury

Race Name and present address of Physician in attendance at birth

Signature of Applicant John A. MacDonald Address of Applicant Glace Bay Date January 3, 1979

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That John AngusMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 2, 1920

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

St. Anne's Parish, Glace Bay - Certificate of Birth and Baptism

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