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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000272

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey AlexandraMacDonald Sex Female

Date of Birth April 28, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Samuel MacDonald MAIDEN NAME of Mother Mary Sarah MacDonald

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Sydney, Cape Breton

Occupation of Father at Birth of child Cable Splicer with Maritime Tel & Tel Place of birth of Father Sydney, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Samuel MacDonald Address of Applicant 27 Richardson Avenue, Sydney, Cape Breton Date 3 March 1959

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey AlexandraMacDonald

Born at Sydney in the County of Cape Breton

That Audrey AlexandraMacDonald Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 28, 1922

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

That I am the father of the said Audrey Alexandra MacDonald and remember well the date of her birth; and that she was baptized on the 7th day of December 1922 as shown on the certificate of baptism which is attached hereto.

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