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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100364

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irene MargaretMcDougall Sex Female

Date of Birth July 22, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father John D. McDougall MAIDEN NAME of Mother Catherine McDougall

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Port Hood

Race Name and present address of Physician in attendance at birth

Signature of Applicant Blaise Walker Address of Applicant Dartmouth Date September 4, 1986

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irene MargaretMcDougall

Born at North Sydney in the County of Cape Breton

That Irene MargaretMcDougall Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on July 22, 1920

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

Baptism

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