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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000924

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie DolenaMacDonald Sex Female

Date of Birth March 4, 1921 Place of Birth North River BridgeCounty of Victoria

Name of Father Angus John MacDonald MAIDEN NAME of Mother Effie Lena MacLeod

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

Residence of Father when child was born North River Bridge Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Massachusetts, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Annie Dolena Kendall Address of Applicant North River Bridge Date February 24, 1981

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie DolenaMacDonald

Born at North River Bridge in the County of Victoria

That Annie DolenaMacDonald Whose Birth is sought to be registered was

born at North River Bridge Victoria County on March 4, 1921

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

Certificate of Baptism My Mother is living which will confirm this.

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