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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100115

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AlexandraMacDonald Sex

Date of Birth April 8, 1920 Place of Birth Glace bay (General Hospital)County of Cape Breton

Name of Father Dan W.  MacDonald MAIDEN NAME of Mother Margaret Fiander

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

Residence of Father when child was born Broughton, Cape Breton Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Broughton, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary MacQuarie Address of Applicant 2 Kent St., Glace Bay Date February 4, 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AlexandraMacDonald

Born at Glace bay (General Hospital) in the County of Cape Breton

That Mary AlexandraMacDonald Whose Birth is sought to be registered was

born at Glace bay (General Hospital) Cape Breton County on April 8, 1920

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

1. The enclosed Hospital Birth Record. 2. Fact that I am the mother of the child.

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