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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000879

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lawrence VincentMacDonald Sex Male

Date of Birth July 9, 1923 Place of Birth AntigonishCounty of Antigonish

Name of Father Francis MacDonald MAIDEN NAME of Mother Mary MacDougall

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

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

Occupation of Father at Birth of child Train man Place of birth of Father Troy, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine F. Martin Address of Applicant 1271 Church Street, Halifax, NS Date 14 December 1983

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lawrence VincentMacDonald

Born at Antigonish in the County of Antigonish

That Lawrence VincentMacDonald Whose Birth is sought to be registered was

born at Antigonish Antigonish County on July 9, 1923

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

Baptismal

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