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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700510

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary CatherineMacDonald Sex Female

Date of Birth October 12, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father John James MacDonald MAIDEN NAME of Mother Flora MacDonald

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

Residence of Father when child was born Glace Bay Present address of Father Dominion No. 4

Occupation of Father at Birth of child Carpenter Place of birth of Father Mabou

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

Signature of Applicant John James MacDonald Address of Applicant Dominion No. 4., 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 Mary CatherineMacDonald

Born at Glace Bay in the County of Cape Breton

That Mary CatherineMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 12, 1919

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

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