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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100038

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris LulaMacLaren Sex Female

Date of Birth February 5, 1921 Place of Birth Garden of EdenCounty of Pictou

Name of Father   MAIDEN NAME of Mother Mary MacLaren

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

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant A. Lloyd MacDonald Address of Applicant Garden of Eden Date February 3, 1984

Relationship of Applicant to child Friend - Provincial Member for Pictou East

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris LulaMacLaren

Born at Garden of Eden in the County of Pictou

That Doris LulaMacLaren Whose Birth is sought to be registered was

born at Garden of Eden Pictou County on February 5, 1921

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

1) Extract from family Bible 2) Extract from School Register 3) Stats Canada, and National Registration

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