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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000345

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick AlexanderMacIsaac Sex Male

Date of Birth November 22, 1922 Place of Birth Broad CoveCounty of Inverness

Name of Father Ronald MacIsaac MAIDEN NAME of Mother Mary MacLellan

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

Residence of Father when child was born Broad Cove Chapel, Inverness Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Broad Cove Chapel, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frederick Alexander MacIsaac Address of Applicant 3330 Woodland, Windsor, Ontario Date 6 March 1967

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick AlexanderMacIsaac

Born at Broad Cove in the County of Inverness

That Frederick AlexanderMacIsaac Whose Birth is sought to be registered was

born at Broad Cove Inverness County on November 22, 1922

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

As a child of nine years, I lived two hundred feet from the house in which the applicant was born. I saw him constantly during his childhood at Broad Cove. I am the applicants first cousin and nine years older than he.

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