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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000264

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emma AnnMacDonald Sex Female

Date of Birth October 8, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Allen J. MacDonald MAIDEN NAME of Mother Elizabeth White

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father 121 Douglas Avenue, Glace Bay, Cape Breton

Occupation of Father at Birth of child Miner Place of birth of Father Glace Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emma Ann Nutter Address of Applicant 39 Black Street, Glace Bay, Cape Breton Date 9 March 1961

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emma AnnMacDonald

Born at Glace Bay in the County of Cape Breton

That Emma AnnMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 8, 1922

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

Examination of certificate of baptism

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