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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000463

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Patricia MyrtleMacDonald Sex Female

Date of Birth March 2, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Jacob MacDonald MAIDEN NAME of Mother Georgina Kehoe

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

Residence of Father when child was born Trenton Present address of Father Frasers Lane, Trenton

Occupation of Father at Birth of child Steelworker Place of birth of Father Trenton

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

Signature of Applicant Mr. Patrick J. O'Brien Address of Applicant 14 Wood Hill Road, Burlington, Massachusetts, USA Date July 8, 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Patricia MyrtleMacDonald

Born at New Glasgow in the County of Pictou

That Patricia MyrtleMacDonald Whose Birth is sought to be registered was

born at New Glasgow Pictou County on March 2, 1921

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

Baptismal Certificate

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