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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000619

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine MarieMacIsaac Sex Female

Date of Birth May 23, 1923 Place of Birth Port HawkesburyCounty of Inverness

Name of Father John MacIsaac MAIDEN NAME of Mother Mary Jane Dorey

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

Residence of Father when child was born Port Hawkesbury Inverness Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Policeman Place of birth of Father Port Hawkesbury, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Marie MacIsaac Address of Applicant 500 George Street, Gravenhurst, Ontario Date 4 October 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine MarieMacIsaac

Born at Port Hawkesbury in the County of Inverness

That Catherine MarieMacIsaac Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on May 23, 1923

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

Certificate of baptism at Parish of St. Joseph.

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