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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000101

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Raymond FrancisMcDougall Sex Male

Date of Birth May 7, 1924 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father John J. McDougall MAIDEN NAME of Mother Florence Keating

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

Residence of Father when child was born Sydney Mines, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Mining Engineer 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 Catherine Croken Address of Applicant 131 1/2 Elm Avenue, Charlottetown, Prince Edward Island Date 9 August 1950

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Raymond FrancisMcDougall

Born at Sydney Mines in the County of Cape Breton

That Raymond FrancisMcDougall Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on May 7, 1924

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

That I am the Aunt of the said Raymond Francis McDougall, and know that the information above set forth as to the time and place of his birth and as to his parents, is true and correct. After the death of his Father and Mother, the said Raymond Francis McDougall came to live with me and May 7th was observed each year as his birthday and I knew that he was born on May 7th, 1924. the attached certificate of Baptism also confirms this.

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