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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000055

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 20, 1921 Place of Birth New WaterfordCounty of Cape Breton

Name of Father John A. MacDoanld MAIDEN NAME of Mother Margaret MacLellan

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

Residence of Father when child was born New Waterford Present address of Father New Waterford

Occupation of Father at Birth of child Miner Place of birth of Father Glencoe

Race White Name and present address of Physician in attendance at birth Dr. D.J. Hartigan

Signature of Applicant John A. MacDonald Address of Applicant 263 Baker St. New Waterford Date October 18, 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary EllenMacDonald

Born at New Waterford in the County of Cape Breton

That Mary EllenMacDonald Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on February 20, 1921

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

I am the father of Mary Ellen MacDonald and I remember the date of her birth

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