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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000144

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Willa FrancesMacDonald Sex Female

Date of Birth January 19, 1924 Place of Birth BroughtonCounty of Cape Breton

Name of Father Daniel W. MacDonald MAIDEN NAME of Mother Margaret Fiander

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Broughton, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret MacDonald Address of Applicant 10 McDougall Street, Glace Bay, Cape Breton Co., NS Date 31 March 1954

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Willa FrancesMacDonald

Born at Broughton in the County of Cape Breton

That Willa FrancesMacDonald Whose Birth is sought to be registered was

born at Broughton Cape Breton County on January 19, 1924

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

I am her mother. I have already submitted a baptismal certificate "B" evidence and I am now submitting a certificate by the Supervisor of Schools for Glace Bay, O.B. Smith, which substantiates my statement.

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