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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000634

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Colin FrancisMcDonald Sex Male

Date of Birth July 7, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Joseph McDonald MAIDEN NAME of Mother Elizabeth McCormick

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 Coal Miner Place of birth of Father Pictou, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Colin Francis McDonald Address of Applicant 69 South Street, Glace Bay, Cape Breton Co., NS Date 27 February 1978

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Colin FrancisMcDonald

Born at Glace Bay in the County of Cape Breton

That Colin FrancisMcDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 7, 1923

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

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