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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000342

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JeanMacDonald Sex Female

Date of Birth July 30, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Murdock McDonald MAIDEN NAME of Mother Elizabeth MacCormick

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

Residence of Father when child was born 673 Arthur Street, McKays Corner, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Jean Keldson Address of Applicant 1938 Parker Street, Vancouver, British Columbia Date 29 January 1967

Relationship of Applicant to child applicant

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That JeanMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 30, 1922

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

I am the mother of Jean MacDonald

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