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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000775

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 8, 1921 Place of Birth Port HawkesburyCounty of Inverness

Name of Father Jamesuo Hensley MAIDEN NAME of Mother Mary Barbara MacDonald

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Port Hawkesbury Present address of Father

Occupation of Father at Birth of child Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Edna MacLeod Address of Applicant 128 Alma St. Oshawa, Ontario Date 12 October, 1978

Relationship of Applicant to child n/a

AFFIDAVIT

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

Born at Port Hawkesbury in the County of Inverness

That Mary EdnaMacDonald Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on September 8, 1921

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

I am the mother of Mary Edna MacDonald

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