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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000763

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie EllenMacIsaac Sex Female

Date of Birth August 18, 1922 Place of Birth InvernessCounty of Inverness

Name of Father Archie A. MacIsaac MAIDEN NAME of Mother mary Jessie MacDonald

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

Residence of Father when child was born Inverness Present address of Father 31 Union Street, Pictou, B0N 2H0

Occupation of Father at Birth of child Miner Place of birth of Father Cataract, Pennsylvania

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Jessie Ellen LeBlanc Address of Applicant 26 Cedar Street, Pictou, B0N 2H0 Date 20 June 1979

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie EllenMacIsaac

Born at Inverness in the County of Inverness

That Jessie EllenMacIsaac Whose Birth is sought to be registered was

born at Inverness Inverness County on August 18, 1922

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

Baptismal record.

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