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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700750

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gilbert LeRoyMcDonald Sex Male

Date of Birth December 14, 1921 Place of Birth WolfvilleCounty of Kings

Name of Father LeRoy McDonald MAIDEN NAME of Mother Gladys Graves

Residence of Father when child was born Halifax, NS Present address of Father Not known

Occupation of Father at Birth of child Labourer Place of birth of Father Boston, Massachusetts, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gladys McDonald Address of Applicant 46 Jacob Street, Halifax, NS Date 9 September 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gilbert LeRoyMcDonald

Born at Wolfville in the County of Kings

That Gilbert LeRoyMcDonald Whose Birth is sought to be registered was

born at Wolfville Kings County on December 14, 1921

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

I am his mother. Certificate of baptism

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