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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93100095

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Duncan ArchieMacIntyre Sex Male

Date of Birth January 14, 1921 Place of Birth QueensvilleCounty of Inverness

Name of Father John MacIntyre MAIDEN NAME of Mother Cassie Jane MacDonald

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Queensville, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farming Place of birth of Father Queensville, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Cassie Jane MacIntyre Address of Applicant Queensville, Inverness Co., NS Date 4 February 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Duncan ArchieMacIntyre

Born at Queensville in the County of Inverness

That Duncan ArchieMacIntyre Whose Birth is sought to be registered was

born at Queensville Inverness County on January 14, 1921

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

That I am his mother and have the church record of his birth

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