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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100018

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 12, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Archibald McDonald MAIDEN NAME of Mother Effie Cameron

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 Miner Place of birth of Father Glace Bay, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John F. McDonald Address of Applicant 3450 Hutchison Street, Montreal, Quebec Date 9 February 1988

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That John FrancisMcDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 12, 1923

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

Certificate of baptism and birth from St. Anne's Parish, 112 Main Street, Glace Bay, NS, B1S 5V2

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