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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700768

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of WallaceMacDonald Sex Male

Date of Birth December 6, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Wallace W. MacDonald MAIDEN NAME of Mother Mary Catherine Petrie

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father St. John's, Newfoundland

Occupation of Father at Birth of child Commercial Traveller Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary C. MacDonald Address of Applicant 979 George Street, Sydney, Cape Breton Co., NS Date 30 April 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of WallaceMacDonald

Born at Sydney in the County of Cape Breton

That WallaceMacDonald Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 6, 1923

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

I am his mother and well recall the date of his birth

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