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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000697

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence CeciliaMacDonald Sex Female

Date of Birth July 1, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Edward MacDonald MAIDEN NAME of Mother Josephine Fitzgerald

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

Residence of Father when child was born Port Morien, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Electrician Place of birth of Father Port Morien, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence Cecilia MacDonald Address of Applicant 25 Grove Street, Glace Bay, Cape Breton Date 7 July 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence CeciliaMacDonald

Born at Glace Bay in the County of Cape Breton

That Florence CeciliaMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 1, 1922

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

I am the applicant herein, and the information given in the application and the affidavit is true to the best of my knowledge and belief.

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