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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000445

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph AnthonyMacDonald Sex Male

Date of Birth October 14, 1922 Place of Birth ThorburnCounty of Pictou

Name of Father   MAIDEN NAME of Mother Christine MacDonald

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant J. A. MacDonald Address of Applicant 672 Dufferin Street, Winnipeg, Manitoba Date 21 October 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph AnthonyMacDonald

Born at Thorburn in the County of Pictou

That Joseph AnthonyMacDonald Whose Birth is sought to be registered was

born at Thorburn Pictou County on October 14, 1922

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

Baptismal certificate

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