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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000019

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of LeonaMcDonald Sex Female

Date of Birth November 29, 1924 Place of Birth d'EscousseCounty of Richmond

Name of Father Harry Edgar McDonald MAIDEN NAME of Mother Annie Jane Poirier

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

Residence of Father when child was born D'Escousse, Richmond Co., NS Present address of Father 160 Falmouth Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Civil Engineer Place of birth of Father Dartmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant H. McDonald Address of Applicant 160 Falmouth Street, Sydney, Cape Breton Co., NS Date 31 March 1917

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of LeonaMcDonald

Born at d'Escousse in the County of Richmond

That LeonaMcDonald Whose Birth is sought to be registered was

born at d'Escousse Richmond County on November 29, 1924

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

I am the father of the person for whom the certificate is sought

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