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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000184

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John HughMacNeil Sex Male

Date of Birth August 13, 1921 Place of Birth St. RoseCounty of Inverness

Name of Father Allan MacNeil MAIDEN NAME of Mother Mary J. MacDonald

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

Residence of Father when child was born St. Rose Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father St. Rose

Race Scottish Name and present address of Physician in attendance at birth Dr. J.A. Proudfoot

Signature of Applicant John Hugh MacNeil Address of Applicant St. Rose Date April 22, 1954

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John HughMacNeil

Born at St. Rose in the County of Inverness

That John HughMacNeil Whose Birth is sought to be registered was

born at St. Rose Inverness County on August 13, 1921

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

Church Birth Certificate

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