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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91500954

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of HughMacDonald Sex Male

Date of Birth July 16, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Neil F. MacDonald MAIDEN NAME of Mother Celia Lays

Residence of Father when child was born Glace Bay Present address of Father Halifax

Occupation of Father at Birth of child Clerk Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. N.F. MacDonald Address of Applicant 117 LeMarchant St. Halifax Date January 19, 1942

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That HughMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 16, 1922

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

I am his Mother

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