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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100236

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie MariaMacDonald Sex Female

Date of Birth August 24, 1921 Place of Birth InvernessCounty of Inverness

Name of Father Daniel David MacDonald MAIDEN NAME of Mother Margaret Teresa Glynn

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie Maria MacDonald Address of Applicant Middlesey, Massachusetts, USA Date 1 April 2003

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie MariaMacDonald

Born at Inverness in the County of Inverness

That Jessie MariaMacDonald Whose Birth is sought to be registered was

born at Inverness Inverness County on August 24, 1921

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

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