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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000123

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George EldredgeMacDonald Sex Male

Date of Birth May 21, 1921 Place of Birth StellartonCounty of Pictou

Name of Father   MAIDEN NAME of Mother Margaret Little

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race White Name and present address of Physician in attendance at birth R.M. Bernie M.D.

Signature of Applicant Jennie MacDonald Address of Applicant Rundle St. Stellarton Date July 26, 1950

Relationship of Applicant to child Foster Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George EldredgeMacDonald

Born at Stellarton in the County of Pictou

That George EldredgeMacDonald Whose Birth is sought to be registered was

born at Stellarton Pictou County on May 21, 1921

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

Certificate of R.M. Bernie M.D. the Physician in attendance at the birth is attached hereto

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