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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000790

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 28, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel C. McDonald MAIDEN NAME of Mother Florence Chisholm

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 Miner Place of birth of Father Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary C. McIntyre Address of Applicant 345-5th St. Glace Bay Date January 25, 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary CatherineMcDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 28, 1921

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

Certificate of Baptism, St. Johns Parish, Glace Bay

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