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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100390

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary JessieMacDonald Sex Female

Date of Birth July 2, 1920 Place of Birth Big PondCounty of Cape Breton

Name of Father Ronald Joseph MacDonald MAIDEN NAME of Mother Elizabeth Ann Campbell

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

Residence of Father when child was born Middle Cape Present address of Father

Occupation of Father at Birth of child Place of birth of Father Middle Cape

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Jessie MacBournie Address of Applicant Hamilton, Ontario Date January 9, 1992

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Big Pond in the County of Cape Breton

That Mary JessieMacDonald Whose Birth is sought to be registered was

born at Big Pond Cape Breton County on July 2, 1920

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

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