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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000534

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Raymond JamesO'Donnell Sex Male

Date of Birth November 20, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Philip J. O'Donnell MAIDEN NAME of Mother Mary Catherine MacDonald

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

Residence of Father when child was born 86 Johnstone St. Sydney Present address of Father deceased

Occupation of Father at Birth of child CNR Engineer Place of birth of Father Boston, Massachusetts, USA

Race Irish Name and present address of Physician in attendance at birth Dr. Frasher MacAulay

Signature of Applicant Mrs. Mary C. O'Donnell Address of Applicant RR2 Iona Date November 1973

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Raymond JamesO'Donnell

Born at Sydney in the County of Cape Breton

That Raymond JamesO'Donnell Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 20, 1921

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

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