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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100027

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Patrick RoderickMacDonald Sex Male

Date of Birth September 8, 1920 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father John Thomas MacDonald MAIDEN NAME of Mother Mary Elizabeth Kendall

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

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

Occupation of Father at Birth of child Police Officer in Sydney Mines Place of birth of Father Sydney Mines

Race Name and present address of Physician in attendance at birth

Signature of Applicant Patrick Roderick MacDonald Address of Applicant Mississauga, Ontario Date August 4, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Patrick RoderickMacDonald

Born at Sydney Mines in the County of Cape Breton

That Patrick RoderickMacDonald Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on September 8, 1920

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

I was present at time of this birth; as Patrick Roderick MacDonald was born at my home. - Elizabeth MacDonald

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