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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000946

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie EllenMacIsaac Sex Female

Date of Birth September 21, 1923 Place of Birth Mackdale Rear, Port HastingsCounty of Inverness

Name of Father John Angus MacIsaac MAIDEN NAME of Mother Margaret Christina Ann MacDonald

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

Residence of Father when child was born MacKdale Rear Port Hastings Inverness Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Canadian National Railway Place of birth of Father Mackdale Rear, Port Hastings, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie Ellen Tesch Address of Applicant 1031 - 116 Avenue, Dawson Creek, British Columbia Date 1 November 1985

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie EllenMacIsaac

Born at Mackdale Rear, Port Hastings in the County of Inverness

That Jessie EllenMacIsaac Whose Birth is sought to be registered was

born at Mackdale Rear, Port Hastings Inverness County on September 21, 1923

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

I have in my possession my certificate of birth and baptism from St. joseph's Parish, Port Hawkesbury, NS and my own personal knowledge

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