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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700061

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harry BernardMacDonald Sex Male

Date of Birth May 8, 1921 Place of Birth ShubenacadieCounty of Hants

Name of Father J. Robie MacDonald MAIDEN NAME of Mother Alice Laws Miller

Residence of Father when child was born Shubenacadie, Hants Co., NS Present address of Father Shubenacadie, Hants Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Shubenacadie, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. J. Robie MacDonald Address of Applicant Shubenacadie, Hants Co., NS Date 11 May 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harry BernardMacDonald

Born at Shubenacadie in the County of Hants

That Harry BernardMacDonald Whose Birth is sought to be registered was

born at Shubenacadie Hants County on May 8, 1921

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

Mother of child

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