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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000586

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary FlorenceMcDonald Sex Female

Date of Birth June 4, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Malcolm McDonald MAIDEN NAME of Mother Violet Walsh

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Coal miner Place of birth of Father Glace Bay

Race White Name and present address of Physician in attendance at birth Mid-wife Mrs. Catherine Walsh

Signature of Applicant Violet Warren Address of Applicant 266 Victoria St. Sydney Date March 11, 1975

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary FlorenceMcDonald

Born at Glace Bay in the County of Cape Breton

That Mary FlorenceMcDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 4, 1921

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

I am mother of child

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