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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700452

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Flora McDonaldMcKeigan Sex Female

Date of Birth October 31, 1919 Place of Birth SandfieldCounty of Cape Breton

Name of Father Dan Peter McKeigan MAIDEN NAME of Mother Willina McDonald

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Marion Bridge

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

Signature of Applicant Dan Peter McKeigan Address of Applicant Sandfield Date 30 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Flora McDonaldMcKeigan

Born at Sandfield in the County of Cape Breton

That Flora McDonaldMcKeigan Whose Birth is sought to be registered was

born at Sandfield Cape Breton County on October 31, 1919

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

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