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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James ClarenceMacDonald Sex Male

Date of Birth February 28, 1924 Place of Birth Brierly BrookCounty of Antigonish

Name of Father John J. MacDonald MAIDEN NAME of Mother Margaret Jane Chisholm

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

Residence of Father when child was born Brierly Brook, Antigonish Co., NS Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Margaret MacDonald Address of Applicant RR #1, Antigonish, NS Date 17 November 1951

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James ClarenceMacDonald

Born at Brierly Brook in the County of Antigonish

That James ClarenceMacDonald Whose Birth is sought to be registered was

born at Brierly Brook Antigonish County on February 28, 1924

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

The evidence of his baptismal certificate and the fact that I am his mother

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