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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200326

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earl GeorgeMacDonald Sex Male

Date of Birth November 29, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Matthew Clement MacDonald MAIDEN NAME of Mother Annie Louise Young

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

Residence of Father when child was born Halifax Present address of Father 25 Maine Ave.

Occupation of Father at Birth of child Painter Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. V.L. Miller

Signature of Applicant Annie Louise MacDonald Address of Applicant 25 Maine Ave. Date 31 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earl GeorgeMacDonald

Born at Halifax in the County of Halifax

That Earl GeorgeMacDonald Whose Birth is sought to be registered was

born at Halifax Halifax County on November 29, 1919

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

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