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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000019

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of A. RossMacDonald Sex Male

Date of Birth February 22, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Duncan N. MacDonald MAIDEN NAME of Mother Mary McIntyre

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

Residence of Father when child was born Reserve Mines Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father Reserve Mines

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

Signature of Applicant A. Ross MacDonald Address of Applicant 936 Elm Ave. Westmount, Montreal, Quebec Date July 23, 1946

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of A. RossMacDonald

Born at Glace Bay in the County of Cape Breton

That A. RossMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 22, 1921

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

The attached certificate from the Glace Bay General Hospital.

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