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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700506

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RonaldMcDonald Sex Male

Date of Birth October 6, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Ronald McDonald MAIDEN NAME of Mother Frances Rogers

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

Residence of Father when child was born Glace Bay Present address of Father Main St.

Occupation of Father at Birth of child N.S.L.A. Inspector Place of birth of Father Grand Narrows

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

Signature of Applicant Ronald McDonald Address of Applicant Main St., Glace Bay Date 04 November 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That RonaldMcDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 6, 1919

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

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