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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800349

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AnnaMacDonald Sex Female

Date of Birth October 21, 1921 Place of Birth Loch LommondCounty of Richmond

Name of Father John Norman MacDonald MAIDEN NAME of Mother Mary Ann Munroe

Residence of Father when child was born Grand River, Richmond Co., NS Present address of Father East Broadway, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Grand River, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Norman MadDonald Address of Applicant East Broadway, Sydney, Cape Breton Co., NS Date 16 February 1944

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AnnaMacDonald

Born at Loch Lommond in the County of Richmond

That Mary AnnaMacDonald Whose Birth is sought to be registered was

born at Loch Lommond Richmond County on October 21, 1921

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

I am her father and remember the births of my children including that of Mary Anna MacDonald for whom this application is made.

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