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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100072

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel ElizabethMcIntosh Sex Female

Date of Birth December 7, 1923 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Daniel McIntosh MAIDEN NAME of Mother Mary Ann MacDonald

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Reserve Mines

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sister Eunice McDonald Address of Applicant 6083 Normandy Dr. Halifax Date January 10, 1995

Relationship of Applicant to child Cousin

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel ElizabethMcIntosh

Born at Reserve Mines in the County of Cape Breton

That Mabel ElizabethMcIntosh Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on December 7, 1923

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

Baptismal and Marriage Extract

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