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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100229

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MarieJoseph Sex Female

Date of Birth February 10, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Daniel Joseph MAIDEN NAME of Mother Amene Sdyre

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

Residence of Father when child was born Sydney Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donald Joseph MacDougall Address of Applicant 2360 Armcrescent West. Halifax Date Mary 15, 1996

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MarieJoseph

Born at Sydney in the County of Cape Breton

That MarieJoseph Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 10, 1921

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

Marie went to live with my grandparents Dan J. and Margaret MacDonald of Judique, Inverness and later came to live with my family in Kirkland Lake Ontario (12 Popular Ave.) and Malortic, Quebec (511 Dollard Ave)

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