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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000178

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 17, 1922 Place of Birth Brirley BrookCounty of Antigonish

Name of Father John J. MacDonald MAIDEN NAME of Mother Margaret Chisholm

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

Residence of Father when child was born Brierly Brook, Antigonish Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Margaret MacDonald Address of Applicant RR #1, Antigonish Date 15 April 1954

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Brirley Brook in the County of Antigonish

That LauchlinMacDonald Whose Birth is sought to be registered was

born at Brirley Brook Antigonish County on April 17, 1922

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

The fact that I am his mother and the evidence of his baptismal certificate

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