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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100195

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James AldridgeMacKay Sex Male

Date of Birth December 10, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Laughlin MacKay MAIDEN NAME of Mother Gertrude MacDonald

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

Residence of Father when child was born Glace Bay Present address of Father Burlington, Ontario

Occupation of Father at Birth of child Farmer Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita MacKay Address of Applicant 334 E14 St. Apt 115 Hamilton, Ontario Date May 13, 1987

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James AldridgeMacKay

Born at Glace Bay in the County of Cape Breton

That James AldridgeMacKay Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 10, 1921

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

Hospital Birth Certificate no. 6347 issued by the Glace Bay General Hospital Statements by James Eldridge MacKay Statements by the Father

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