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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000382

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles NeilMcDonald Sex Male

Date of Birth September 25, 1921 Place of Birth East Lake AinslieCounty of Inverness

Name of Father Donald Charles MacDonald MAIDEN NAME of Mother Jessie MacMechan

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

Residence of Father when child was born East Lake Ainslie Present address of Father East Lake Ainslie

Occupation of Father at Birth of child Farmer Place of birth of Father East Lake Ainslie

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

Signature of Applicant Charles Neil MacDonald Address of Applicant Whycocomagh Date 9 May 1968

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles NeilMcDonald

Born at East Lake Ainslie in the County of Inverness

That Charles NeilMcDonald Whose Birth is sought to be registered was

born at East Lake Ainslie Inverness County on September 25, 1921

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

My father and mother are both living and state that 25 September 1921 is my date of birth and this same date appears on a leaf in our Family Bible.

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