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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000076

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel AudreyMacDonald Sex Female

Date of Birth August 23, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Angus  MacDonald MAIDEN NAME of Mother Catherine 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

Occupation of Father at Birth of child Welder Place of birth of Father Pictou

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

Signature of Applicant Catherine MacDonald Address of Applicant 90 Sussex Ave. Toronto, Ontario Date February 23, 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel AudreyMacDonald

Born at Glace Bay in the County of Cape Breton

That Hazel AudreyMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 23, 1921

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

I am her mother. Christened at Knox United Church by the late Rev. Mr. MacLeod.

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