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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600298

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vincent TerranceMcDonald Sex Male

Date of Birth June 5, 1921 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Allan Joseph McDonald MAIDEN NAME of Mother Grace Elizabeth McKenzie

Residence of Father when child was born Sydney Mines, Cape Breton Co., NS Present address of Father New Waterford, Cape Breton Co., NS

Occupation of Father at Birth of child London Life Insurance Agent Place of birth of Father Sydney Mines, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Grace E. McDonald Address of Applicant New Waterford, Cape Breton Co., NS Date 15 December 1934

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vincent TerranceMcDonald

Born at Sydney Mines in the County of Cape Breton

That Vincent TerranceMcDonald Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on June 5, 1921

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

I am the mother of the child and I have a record of her birth.

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