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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700054

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dougalenes IreneMacDonald Sex Female

Date of Birth March 1, 1923 Place of Birth Port HawkesburyCounty of Inverness

Name of Father John P. Macdonald MAIDEN NAME of Mother Christine MacCormack

Residence of Father when child was born Port Hawkesbury, Inverness Co., NS Present address of Father Port Hawkesbury, Inverness Co., NS

Occupation of Father at Birth of child Blacksmith Place of birth of Father Irish Cove, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Christine Macdonald Address of Applicant Port Hawkesbury, Inverness Co., NS Date 10 October 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dougalenes IreneMacDonald

Born at Port Hawkesbury in the County of Inverness

That Dougalenes IreneMacDonald Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on March 1, 1923

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

That I am her mother.

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