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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000164

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 8, 1921 Place of Birth East BayCounty of Cape Breton

Name of Father John J.H. MacDonald MAIDEN NAME of Mother Florence Boyle

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

Residence of Father when child was born East Bay Present address of Father Sydney

Occupation of Father at Birth of child Farmer Place of birth of Father Boston, Massachusetts, USA

Race Scottish Name and present address of Physician in attendance at birth Dr. A.S. Kendal

Signature of Applicant J.J.H. MacDonald Address of Applicant Sydney Date August 20, 1952

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at East Bay in the County of Cape Breton

That Mary FlorenceMacDonald Whose Birth is sought to be registered was

born at East Bay Cape Breton County on January 8, 1921

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

I entered the date of birth in the Parish records on January 10th, 1921

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