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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000383

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael AloysiusMacDonald Sex Male

Date of Birth April 13, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Frank Macdonald MAIDEN NAME of Mother Mary MacKinnon

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

Residence of Father when child was born 718 Minto Street, Glace Bay, Cape Breton Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. Macdonald Address of Applicant 1244 Woodroffe Avenue, Ottawa, Ontario Date 7 January 1970

Relationship of Applicant to child N/A

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael AloysiusMacDonald

Born at Glace Bay in the County of Cape Breton

That Michael AloysiusMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 13, 1922

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

Certification of birth from records of St. Annes Parish, Glace Bay

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