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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100204

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald WilliamWilson Sex Male

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

Name of Father William H. Wilson MAIDEN NAME of Mother Mary Catherine MacKinnon

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Kennington Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Effie Catherine MacInnis Address of Applicant 235 Brookside St. Glace Bay Date 18 February 1988

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald WilliamWilson

Born at Glace Bay in the County of Cape Breton

That Donald WilliamWilson 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:

School Record from the Public Archives of Nova Scotia Census Report taken from the Census of June 1, 1931 both of which are enclosed herewith

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