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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100264

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of IreneMacIsaac Sex Female

Date of Birth December 6, 1920 Place of Birth Port HawkesburyCounty of Inverness

Name of Father John Joseph MacIsaac MAIDEN NAME of Mother Mary Jane Dorey

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

Residence of Father when child was born Port Hawkesbury Present address of Father deceased

Occupation of Father at Birth of child policeman Place of birth of Father Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Irene Charist Address of Applicant 15 Denham Rd Date 12 June 1984

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of IreneMacIsaac

Born at Port Hawkesbury in the County of Inverness

That IreneMacIsaac Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on December 6, 1920

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

baptism

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