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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100036

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel EvangelineMcCara Sex Female

Date of Birth April 16, 1921 Place of Birth ElmfieldCounty of Pictou

Name of Father Hugh Albert McCara MAIDEN NAME of Mother Martha Stewart

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Plainfield

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hazel Evangeline MacKay Address of Applicant Elmfield Date November 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel EvangelineMcCara

Born at Elmfield in the County of Pictou

That Hazel EvangelineMcCara Whose Birth is sought to be registered was

born at Elmfield Pictou County on April 16, 1921

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

1) information given to me by my parents 2) Census Records 3) National Registration Records

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