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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700053

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas YorkMacDonald Sex Male

Date of Birth June 10, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father George Hunter MacDonald MAIDEN NAME of Mother Florence Olive York

Residence of Father when child was born 14 Fletcher Street, Glace Bay, Cape Breton Co., NS Present address of Father Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Clerk Place of birth of Father Morien, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence Olive MacDonald Address of Applicant 14 Fletcher Street, Glace Bay, Cape Breton Co., NS Date 6 February 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas YorkMacDonald

Born at Glace Bay in the County of Cape Breton

That Douglas YorkMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 10, 1923

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

I am his mother

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