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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000537

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irene LillianMacDonald Sex Female

Date of Birth October 10, 1921 Place of Birth Cole HarbourCounty of Halifax

Name of Father Clarence George MacDonald MAIDEN NAME of Mother Lillian Jollimore

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

Residence of Father when child was born Cole Harbour Present address of Father deceased

Occupation of Father at Birth of child Logger Place of birth of Father Cole Harbour

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

Signature of Applicant Deborah Borden Address of Applicant 2531 Barrington St. Halifax Date January 15, 1974

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irene LillianMacDonald

Born at Cole Harbour in the County of Halifax

That Irene LillianMacDonald Whose Birth is sought to be registered was

born at Cole Harbour Halifax County on October 10, 1921

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

Baptism Certificate

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