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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000273

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn RuthMacDonald Sex Female

Date of Birth August 28, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Duncan Harold MacDonald MAIDEN NAME of Mother Mary Euphrazie Cox

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

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Civil Engineer Place of birth of Father Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ruth Lantz Address of Applicant 486 Hillcrest Crescent, Apt 108, Sudbury, Ontario Date 2 December 1961

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn RuthMacDonald

Born at Halifax in the County of Halifax

That Evelyn RuthMacDonald Whose Birth is sought to be registered was

born at Halifax Halifax County on August 28, 1922

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

Information received from my parents while living

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