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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000163

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine RoseMacDonald Sex Female

Date of Birth July 24, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Ronald  MacDonald MAIDEN NAME of Mother Christena Connelley

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

Residence of Father when child was born 47 Lake Rd. Glace Bay Present address of Father Main-à-Dieu

Occupation of Father at Birth of child Insurance Salesman Place of birth of Father Glace Bay

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

Signature of Applicant Catherine Rose Fields Address of Applicant 25 Furnival Rd. Toronto, Ontario Date September 29, 1952

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine RoseMacDonald

Born at Glace Bay in the County of Cape Breton

That Catherine RoseMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 24, 1921

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

From information obtained from a Certificate of Brith and Baptism, St. Anne's Parish, Glace Bay, Nova Scotia, date September 23rd, 1952 and attested by Reverened J.A. Lynch

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