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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000710

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alex JohnMacIsaac Sex Male

Date of Birth July 23, 1921 Place of Birth JudiqueCounty of Inverness

Name of Father John MacIsaac MAIDEN NAME of Mother Isabell MacIsaac

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

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

Occupation of Father at Birth of child Bricklayer Place of birth of Father Judique

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. A. MacIsaac Address of Applicant P.O. Box 5026 Guelph, Ontario Date September 23, 1977

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alex JohnMacIsaac

Born at Judique in the County of Inverness

That Alex JohnMacIsaac Whose Birth is sought to be registered was

born at Judique Inverness County on July 23, 1921

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

I have his birth and Baptismal Certificate I was talking to his god parents one whom and they declare it to be true - Annie Catherine MacIsaac

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