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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100065

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AlexanderMacDonald Sex Male

Date of Birth November 23, 1921 Place of Birth Port HoodCounty of Inverness

Name of Father Laughlin J. MacDonald MAIDEN NAME of Mother Margaret Graham

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

Residence of Father when child was born Port Hood Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Port Hood

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary E. MacDonald Address of Applicant 5381 Duffus St. Halifax Date September 14, 1984

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AlexanderMacDonald

Born at Port Hood in the County of Inverness

That John AlexanderMacDonald Whose Birth is sought to be registered was

born at Port Hood Inverness County on November 23, 1921

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

Baptismal

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