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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000078

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MatildaMacDonald Sex Female

Date of Birth February 17, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Dan W. MacDonald MAIDEN NAME of Mother Janet Thomas

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

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Miner Place of birth of Father North Sydney

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

Signature of Applicant Mrs. Janet MacDonald Address of Applicant 19 Currie St. Glace Bay Date April 17, 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MatildaMacDonald

Born at Glace Bay in the County of Cape Breton

That MatildaMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 17, 1921

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

I am the mother of the said Matilda MacDonald

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