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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100004

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Malcolm JohnMacPherson Sex Male

Date of Birth May 2, 1923 Place of Birth South Ridge, Cape NorthCounty of Victoria

Name of Father Norman John MacPherson MAIDEN NAME of Mother Flora A. Burton

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

Residence of Father when child was born South Ridge Cape North Victoria Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father South Ridge, Cape North, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Malcolm MacPherson Address of Applicant Box 22, Englishtown, Victoria Co., NS Date 31 August 1987

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Malcolm JohnMacPherson

Born at South Ridge, Cape North in the County of Victoria

That Malcolm JohnMacPherson Whose Birth is sought to be registered was

born at South Ridge, Cape North Victoria County on May 2, 1923

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

Certificate of baptism from North Highlands Pastoral Charge, United Church of Canada.

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