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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000940

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daniel GordonMacDonald Sex Male

Date of Birth September 12, 1921 Place of Birth Little HarbourCounty of Pictou

Name of Father William MacDonald MAIDEN NAME of Mother Katherine White

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

Residence of Father when child was born Little Harbour Present address of Father deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Little Harbour

Race Name and present address of Physician in attendance at birth

Signature of Applicant Daniel Gordon MacDonald Address of Applicant RR1 New Glasgow Date September 30, 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daniel GordonMacDonald

Born at Little Harbour in the County of Pictou

That Daniel GordonMacDonald Whose Birth is sought to be registered was

born at Little Harbour Pictou County on September 12, 1921

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

Baptismal

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