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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000292

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris MarieMacIsaac Sex Female

Date of Birth July 28, 1924 Place of Birth AntigonishCounty of Antigonish

Name of Father Michael MacIsaac MAIDEN NAME of Mother Mary Catherine Chisholm

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

Residence of Father when child was born Antigonish, NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Giant's Lake, Guysborough Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary C. MacIsaac Address of Applicant RR #1, South River Lake, Antigonish Co., NS Date 21 June 1965

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris MarieMacIsaac

Born at Antigonish in the County of Antigonish

That Doris MarieMacIsaac Whose Birth is sought to be registered was

born at Antigonish Antigonish County on July 28, 1924

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

I am the mother of the child and I recall her date of birth

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