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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100109

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth PatriciaMacDonald Sex

Date of Birth June 20, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Wallace MacDonald MAIDEN NAME of Mother Maimmaie Petrie

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

Residence of Father when child was born Whitney Pier, Cape Breton Present address of Father

Occupation of Father at Birth of child Movie Producer Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bessie Parker Address of Applicant 1659 Preston St. Date October 18, 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth PatriciaMacDonald

Born at Sydney in the County of Cape Breton

That Elizabeth PatriciaMacDonald Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 20, 1920

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

Census, National Reg., School Record.

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