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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000566

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth MargaretMacDonald Sex Female

Date of Birth June 9, 1922 Place of Birth Scotch LakeCounty of Cape Breton

Name of Father Michael MacDonald MAIDEN NAME of Mother Mary MacInnis

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

Residence of Father when child was born Scotch Lake, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Foreman Place of birth of Father Scotch Lake, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth Margaret Walsh Address of Applicant RR #3, Bras d'Or, Cape Breton Date 11 February 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth MargaretMacDonald

Born at Scotch Lake in the County of Cape Breton

That Elizabeth MargaretMacDonald Whose Birth is sought to be registered was

born at Scotch Lake Cape Breton County on June 9, 1922

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

Baptismal

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