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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000080

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ann MaryMacDonald Sex Female

Date of Birth January 24, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Roderick Francis MacDonald MAIDEN NAME of Mother Sarah Ann MacLellan

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

Residence of Father when child was born Inverness Ns Present address of Father Inverness, NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah Ann MacDonald Address of Applicant Inverness, NS Date 23 August 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ann MaryMacDonald

Born at Inverness in the County of Inverness

That Ann MaryMacDonald Whose Birth is sought to be registered was

born at Inverness Inverness County on January 24, 1923

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

Being the mother of the said child, I have personal knowledge of the fact and date of birth. See attached certificate of baptism.

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