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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000480

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emily MadonnaMcNeil Sex Female

Date of Birth May 10, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel Lauchlin MacNeil MAIDEN NAME of Mother Emma Sara Sullivan

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Medical Doctor Place of birth of Father Mabou, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emily M. Gillis Address of Applicant St. Lawrence, Newfoundland Date 25 June 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emily MadonnaMcNeil

Born at Glace Bay in the County of Cape Breton

That Emily MadonnaMcNeil Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 10, 1923

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

Attending physician at birth.

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