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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200267

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James Vincent PatrickMcDonald Sex Male

Date of Birth November 19, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father James Vincent McDonald MAIDEN NAME of Mother Elizabeth Mary Carroll

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

Residence of Father when child was born Halifax Present address of Father 25 North Park St.

Occupation of Father at Birth of child Brakeman Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth Dr. Grace Rice

Signature of Applicant Elizabeth Mary McDonald Address of Applicant 25 North Park St. Date 12 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James Vincent PatrickMcDonald

Born at Halifax in the County of Halifax

That James Vincent PatrickMcDonald Whose Birth is sought to be registered was

born at Halifax Halifax County on November 19, 1919

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

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