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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000320

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George BrownMacDonald Sex Male

Date of Birth May 25, 1921 Place of Birth Quarry St. AnnsCounty of Victoria

Name of Father Dan P. MacDonald MAIDEN NAME of Mother Katherine Peterson

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

Residence of Father when child was born Quarry St. Anns Present address of Father Baddeck

Occupation of Father at Birth of child Labourer Place of birth of Father North River

Race White Name and present address of Physician in attendance at birth midwife

Signature of Applicant George B. MacDonald Address of Applicant 357 Cabot St. Sydney Date August 31, 1963

Relationship of Applicant to child Applicant is George B. MacDonald

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George BrownMacDonald

Born at Quarry St. Anns in the County of Victoria

That George BrownMacDonald Whose Birth is sought to be registered was

born at Quarry St. Anns Victoria County on May 25, 1921

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

Letter from Rev James A. MacDonald attached February 27, 1960 with record of Birth taken from record of United Church North River Bridge. I have known the MacDonald family personally for the past 25 years.

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