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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000167

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Muriel AgnesMacdonald Sex Female

Date of Birth September 5, 1923 Place of Birth WestvilleCounty of Pictou

Name of Father   MAIDEN NAME of Mother Jean MacDonald

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret E. MacDonald Address of Applicant Purves Avenue, Westville, Pictou Co., NS Date 15 September 1952

Relationship of Applicant to child Grandchild

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Muriel AgnesMacdonald

Born at Westville in the County of Pictou

That Muriel AgnesMacdonald Whose Birth is sought to be registered was

born at Westville Pictou County on September 5, 1923

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

The school register for primary grade, 1931, kept by Mary Elizabeth Harrison verifies the above information. (Family bible records)

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