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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000664

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Victoria MaeMacDonald Sex Female

Date of Birth May 24, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father John MacDonald MAIDEN NAME of Mother Mary Callaghan

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dawn Elaine Khatla Bagnell Address of Applicant Halifax Date January 13, 1977

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Victoria MaeMacDonald

Born at Sydney in the County of Cape Breton

That Victoria MaeMacDonald Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 24, 1921

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

Baptismal Marriage extract

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