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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100121

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 17, 1920 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father John William McDonald MAIDEN NAME of Mother Margaret Ellen  Martin

Were the Parents married at the time of the Birth?

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

Occupation of Father at Birth of child Miner Place of birth of Father Dominion

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth Emma Murphy Address of Applicant 348 Reserve St., Glace Bay Date April 29, 1981

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That Elizabeth EmmaMcDonald Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on January 17, 1920

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

You are in possession of my Baptism Certificate from St. Joseph's Parish, Reserve Mines, sent to you in March 1981.

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