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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100242

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Flora BellMacDonell Sex Female

Date of Birth March 19, 1921 Place of Birth JudiqueCounty of Inverness

Name of Father Allen MacDonell MAIDEN NAME of Mother Mary MacDonald

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Flora Bell Florence MacLean Address of Applicant Sussex, New Brunswick Date 18 October 2006

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Flora BellMacDonell

Born at Judique in the County of Inverness

That Flora BellMacDonell Whose Birth is sought to be registered was

born at Judique Inverness County on March 19, 1921

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

Attached is the Certificate of Birth and Baptism, please return

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