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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000583

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clara TheresaMacAdam Sex Female

Date of Birth June 4, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel Hugh MacAdam MAIDEN NAME of Mother Catherine MacNeil

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

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

Occupation of Father at Birth of child Pipe Fitter Place of birth of Father East Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Clara Theresa MacAdam Viger Address of Applicant 4 Baroness Cres., Willowdale, Ontario, M2J 3K5 Date 10 June 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clara TheresaMacAdam

Born at Glace Bay in the County of Cape Breton

That Clara TheresaMacAdam Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 4, 1922

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

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