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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000514

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John Donald NinianMacGillivray Sex Male

Date of Birth April 4, 1922 Place of Birth DunmaglassCounty of Antigonish

Name of Father Donald R. MacGillivray MAIDEN NAME of Mother Catherine Gillis

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

Residence of Father when child was born Dunmaglass, Antigonish Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Dunmaglass, Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant John D. N. MacGillivray Address of Applicant Ardness, Pictou Date 15 July 1974

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John Donald NinianMacGillivray

Born at Dunmaglass in the County of Antigonish

That John Donald NinianMacGillivray Whose Birth is sought to be registered was

born at Dunmaglass Antigonish County on April 4, 1922

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

Official Baptismal Certificate from the records of St. Marys Parish, Lismore

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