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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700248

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lena Christine KatherineMacdonald Sex Female

Date of Birth December 16, 1919 Place of Birth Hillside MiraCounty of Cape Breton

Name of Father Duncan Macdonald MAIDEN NAME of Mother Willetta Macdonald

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

Residence of Father when child was born Hillside Mira Present address of Father

Occupation of Father at Birth of child Farmer Place of birth of Father Hillside Mira

Race Name and present address of Physician in attendance at birth Dr. John McDonald

Signature of Applicant Duncan McDonald Address of Applicant Hillside Mira Date 31 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lena Christine KatherineMacdonald

Born at Hillside Mira in the County of Cape Breton

That Lena Christine KatherineMacdonald Whose Birth is sought to be registered was

born at Hillside Mira Cape Breton County on December 16, 1919

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

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