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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000332

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret AliceMacDougall Sex Female

Date of Birth September 4, 1921 Place of Birth New AberdeenCounty of Cape Breton

Name of Father James Swabe MacDougall MAIDEN NAME of Mother Mary Agnes Grant

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

Residence of Father when child was born New Aberdeen Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Maccan

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

Signature of Applicant Margaret Alice MacDougall Address of Applicant 257 South St. Glace Bay Date May 25, 1964

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret AliceMacDougall

Born at New Aberdeen in the County of Cape Breton

That Margaret AliceMacDougall Whose Birth is sought to be registered was

born at New Aberdeen Cape Breton County on September 4, 1921

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

It is the date of birth shown on the attached Certificate of Baptism, particulars on which have been taken from the records at St. Marys Church, Glace Bay. It is also the date of birth shown on the Family Bible Record, a certified extract from which is also attached.

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