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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100244

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris AnastasiaMacDonald Sex Female

Date of Birth July 27, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Stephen MacDonald MAIDEN NAME of Mother Annie Loretta Webb

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 Port Hastings

Race Name and present address of Physician in attendance at birth

Signature of Applicant A.W. Muse Address of Applicant Port Hawkesbury Date July 30, 2009

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris AnastasiaMacDonald

Born at Sydney in the County of Cape Breton

That Doris AnastasiaMacDonald Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 27, 1921

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

Baptismal Certificate / Marriage Extract

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