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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000392

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of June FrancisMacDonald Sex Female

Date of Birth June 5, 1922 Place of Birth StellartonCounty of Pictou

Name of Father William Hugh Macdonald MAIDEN NAME of Mother  marchant

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

Residence of Father when child was born Stellarton, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Stellarton, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant June Francis Gallie Address of Applicant 48 Doncaster Street, St. Catharines, Ontario Date 29 June 1970

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of June FrancisMacDonald

Born at Stellarton in the County of Pictou

That June FrancisMacDonald Whose Birth is sought to be registered was

born at Stellarton Pictou County on June 5, 1922

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

Letter from attending physician at time of birth. Baptismal certificate.

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