Male Birth Registration: Year: 1921 number: 99000021
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000021
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of John DuncanMacDougall Sex Male
Date of Birth September 10, 1921 Place of Birth Mount YoungCounty of Inverness
Name of Father Ronald MacDougall MAIDEN NAME of Mother Annie MacKinnon
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Mount Young Present address of Father deceased
Occupation of Father at Birth of child Farmer Place of birth of Father Mount Young
Race Canadian Scottish Name and present address of Physician in attendance at birth
Signature of Applicant Mrs. Annie MacDougall Address of Applicant Mason Point Date November 18, 1946
Relationship of Applicant to child Mother
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of John DuncanMacDougall
Born at Mount Young in the County of Inverness
That John DuncanMacDougall Whose Birth is sought to be registered was
born at Mount Young Inverness County on September 10, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
I am the mother of John Duncan MacDougall and am in my proper senses.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416411
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