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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600847

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JosephMcDougall Sex Male

Date of Birth August 26, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Vincent Angus MacDougall MAIDEN NAME of Mother Isabelle McKinnon

Residence of Father when child was born 29 Dolbin Street, Sydney, Cape Breton Co., NS Present address of Father 29 Dolbin Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Carpenter Place of birth of Father Grand Mira, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vincent A. McDougall Address of Applicant 29 Dolbin Street, Sydney, Cape Breton Co., NS Date 25 October 1937

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JosephMcDougall

Born at Sydney in the County of Cape Breton

That John JosephMcDougall Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 26, 1922

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

I am his father and was in the house at his birth. I verified the date by reference to the Church records of his baptism (certificate attached hereto, marked "A")

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