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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900261

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bertha MaryMcDonald Sex Female

Date of Birth June 25, 1922 Place of Birth DominionCounty of Cape Breton

Name of Father Joseph Bennett McDonald MAIDEN NAME of Mother Anna McLean

Residence of Father when child was born Dominion, Cape Breton Co., NS Present address of Father Dominion, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Lingan, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Bennett McDonald Address of Applicant Dominion, Cape Breton Co., NS Date 3 April 1945

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bertha MaryMcDonald

Born at Dominion in the County of Cape Breton

That Bertha MaryMcDonald Whose Birth is sought to be registered was

born at Dominion Cape Breton County on June 25, 1922

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

I am her father

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