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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000878

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lucille ElizabethMacDonald Sex Female

Date of Birth June 6, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Catherine MacDonald

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lucille Elizabeth Daye Address of Applicant 12 Moulton Avenue, North Sydney, Cape Breton Date 1 March 1982

Relationship of Applicant to child I am person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lucille ElizabethMacDonald

Born at Sydney in the County of Cape Breton

That Lucille ElizabethMacDonald Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 6, 1922

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

I am the said Lucille Elizabeth MacDonald (now Daye) and I have always understood I was born on June 6, 1922 and I attach a certificate of birth & baptism from Sacred Heart Parish, Sydney, which shows my date of birth and date of baptism.

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