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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000016

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine DolenaMacDougall Sex Female

Date of Birth March 27, 1923 Place of Birth Sydney RiverCounty of Cape Breton

Name of Father Daniel MacDougall MAIDEN NAME of Mother Margaret MacFarlane

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

Residence of Father when child was born Sydney River Cape Breton Co. Ns Present address of Father Sydney River, Cape Breton Co., NS

Occupation of Father at Birth of child Carpenter Place of birth of Father Sydney River, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine MacDougall MacLeod Address of Applicant Sydney River, Cape Breton Co., NS Date 23 July 1946

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine DolenaMacDougall

Born at Sydney River in the County of Cape Breton

That Catherine DolenaMacDougall Whose Birth is sought to be registered was

born at Sydney River Cape Breton County on March 27, 1923

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

I am an aunt of the applicant & lived next door to her at birth and ever since.

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