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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000677

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AubreyMcDougall Sex Male

Date of Birth August 11, 1921 Place of Birth Whitney PierCounty of Cape Breton

Name of Father Hugh McDougall MAIDEN NAME of Mother Margaret McNeil

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 Steelworker Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Evelyn McDougall Address of Applicant 1991 Brunswick St. Apt 111 Halifax Date April 18, 1977

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AubreyMcDougall

Born at Whitney Pier in the County of Cape Breton

That John AubreyMcDougall Whose Birth is sought to be registered was

born at Whitney Pier Cape Breton County on August 11, 1921

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

Baptismal Certificate

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