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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000226

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James WheelerMacDonald Sex Male

Date of Birth January 13, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Allen MacDonald MAIDEN NAME of Mother Isobel Carmical

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

Residence of Father when child was born Margaree Present address of Father deceased

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

Race Canadian Name and present address of Physician in attendance at birth Dr. MacAulay

Signature of Applicant James W. MacDonald Address of Applicant 21 Rodney Rd. Dartmouth Date September 21, 1956

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James WheelerMacDonald

Born at Glace Bay in the County of Cape Breton

That James WheelerMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 13, 1921

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

Census Report and School record

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