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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700289

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael GregoryMacDonald Sex Male

Date of Birth November 17, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father John MacDonald MAIDEN NAME of Mother Margaret Gillis

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

Residence of Father when child was born Sydney Mines Present address of Father

Occupation of Father at Birth of child Coal miner Place of birth of Father Sydney Mines

Race Name and present address of Physician in attendance at birth Dr. William T. McKeough

Signature of Applicant John McDonald Address of Applicant Sydney Mines Date 28 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael GregoryMacDonald

Born at Sydney Mines in the County of Cape Breton

That Michael GregoryMacDonald Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on November 17, 1919

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

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