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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000061

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Seward JamesMacDougall Sex Male

Date of Birth May 15, 1924 Place of Birth AntigonishCounty of Antigonish

Name of Father Angus MacDougall MAIDEN NAME of Mother Muriel Clair McPhee

Were the Parents married at the time of the Birth?

Residence of Father when child was born Livingstone Cove, Antigonish Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Livingstone Cove, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Muriel C. Mason Address of Applicant RR #1, Dartmouth, NS Date 8 March 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Seward JamesMacDougall

Born at Antigonish in the County of Antigonish

That Seward JamesMacDougall Whose Birth is sought to be registered was

born at Antigonish Antigonish County on May 15, 1924

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

That I am the mother of Seward James MacDougall

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