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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100119

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Andrew JosephMacDonald Sex Male

Date of Birth August 23, 1920 Place of Birth Judique IntervaleCounty of Inverness

Name of Father Alexander MacDonald MAIDEN NAME of Mother  MacInnis

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

Residence of Father when child was born Port Hood, Inverness Co. Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Port Hood, Inverness Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Andrew Joseph MacDonald Address of Applicant 2 Kelly Street, Armdale Date 22 January 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Andrew JosephMacDonald

Born at Judique Intervale in the County of Inverness

That Andrew JosephMacDonald Whose Birth is sought to be registered was

born at Judique Intervale Inverness County on August 23, 1920

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

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