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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700375

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 3, 1919 Place of Birth FlorenceCounty of Cape Breton

Name of Father John R. McDonald MAIDEN NAME of Mother Lavinia McKeigan

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

Residence of Father when child was born Florence Present address of Father

Occupation of Father at Birth of child Mechanic Place of birth of Father Boularderie

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

Signature of Applicant John R. McDonald Address of Applicant Florence Date 01 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Florence in the County of Cape Breton

That GraceMacDonald Whose Birth is sought to be registered was

born at Florence Cape Breton County on November 3, 1919

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

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