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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000172

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald HughMacDougall Sex Male

Date of Birth September 27, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Hugh G. MacDougall MAIDEN NAME of Mother Mary Ann MacNeil

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

Residence of Father when child was born Inverness Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donald Hugh MacDougall Address of Applicant Inverness, NS Date 6 November 1953

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald HughMacDougall

Born at Inverness in the County of Inverness

That Donald HughMacDougall Whose Birth is sought to be registered was

born at Inverness Inverness County on September 27, 1923

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

Baptismal Certificate

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