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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000162

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rita Cathleen MaryMacDonald Sex Female

Date of Birth November 15, 1922 Place of Birth ArdnessCounty of Pictou

Name of Father Angus Hughie MacDonald MAIDEN NAME of Mother Catherine Horner

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

Residence of Father when child was born Ardness, Pictou Present address of Father Ardness, Pictou

Occupation of Father at Birth of child Farmer Place of birth of Father Ardness, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita Cathleen MacDonad Address of Applicant Ardness, Pictou Date 31 August 1953

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rita Cathleen MaryMacDonald

Born at Ardness in the County of Pictou

That Rita Cathleen MaryMacDonald Whose Birth is sought to be registered was

born at Ardness Pictou County on November 15, 1922

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

certificate of baptism attached

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