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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000313

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn FlorenceMacdonald Sex Female

Date of Birth July 11, 1921 Place of Birth FairviewCounty of Halifax

Name of Father J.B. Macdonald MAIDEN NAME of Mother Lillian E. Cooke

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

Residence of Father when child was born Fairview Present address of Father 91 Main Ave. Fairview

Occupation of Father at Birth of child Roofing Contractor Place of birth of Father Halifax

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

Signature of Applicant Evelyn Macdonald McQuarrie Address of Applicant 151 Main Ave. Fairview Date April 18, 1963

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn FlorenceMacdonald

Born at Fairview in the County of Halifax

That Evelyn FlorenceMacdonald Whose Birth is sought to be registered was

born at Fairview Halifax County on July 11, 1921

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

family bible baptismal certificate family bible record in error of spelling MacDonald correct spelling is Macdonald

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