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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700172

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AgnesMacDonald Sex Female

Date of Birth December 14, 1919 Place of Birth New VictoriaCounty of Cape Breton

Name of Father Angus MacDonald MAIDEN NAME of Mother Hester Macky

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

Residence of Father when child was born New Victoria Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth Dr. D.J. Hartigan

Signature of Applicant Angus MacDonald Address of Applicant New Victoria Date 30 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AgnesMacDonald

Born at New Victoria in the County of Cape Breton

That AgnesMacDonald Whose Birth is sought to be registered was

born at New Victoria Cape Breton County on December 14, 1919

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

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