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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie FlorenceMacDonald Sex Female

Date of Birth December 9, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father John MacDonald MAIDEN NAME of Mother Jane McKinnon

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

Residence of Father when child was born Glace Bay Present address of Father "The Roost"

Occupation of Father at Birth of child Miner Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth Dr. E.O. MacDonald

Signature of Applicant Jane MacDonald Address of Applicant Glace Bay Date 06 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie FlorenceMacDonald

Born at Glace Bay in the County of Cape Breton

That Annie FlorenceMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 9, 1919

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

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