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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100199

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hugh EvsebiusMacDonald Sex Male

Date of Birth December 5, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Roderick Francis MacDonald MAIDEN NAME of Mother Mary Augunes MacKinnon

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Street Car Operator Place of birth of Father Irish Vale

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hugh E. MacDonald Address of Applicant 132 McGill St. Toronto, Ontario Date July 28, 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hugh EvsebiusMacDonald

Born at Glace Bay in the County of Cape Breton

That Hugh EvsebiusMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 5, 1921

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

Certificate of Baptism and Birth (copy enclosed)

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