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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000594

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis HughMcDougall Sex Male

Date of Birth October 22, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Hugh A. McDougall MAIDEN NAME of Mother Margaret McNeil

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

Residence of Father when child was born Cameron Street Sydney Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Port Hood, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Francis Hugh McDougall Address of Applicant 38 Mulvagh Avenue, Ottawa, Ontario, K2E 6H6 Date 23 February 1977

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis HughMcDougall

Born at Sydney in the County of Cape Breton

That Francis HughMcDougall Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 22, 1923

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

Copy of certificate of baptism, dated 8 February 1977 and signed by Reverend R. D. Smith (Parish Priest)

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