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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000384

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AnnMacDonald Sex Female

Date of Birth February 3, 1924 Place of Birth Pleasant ValleyCounty of Antigonish

Name of Father Angus H. MacDonald MAIDEN NAME of Mother Catherine Homer

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

Residence of Father when child was born Ardeness, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Ardeness, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Gerald Gracie Address of Applicant 9 Wand Lane, Dartmouth, NS Date 27 February 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AnnMacDonald

Born at Pleasant Valley in the County of Antigonish

That Mary AnnMacDonald Whose Birth is sought to be registered was

born at Pleasant Valley Antigonish County on February 3, 1924

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

Certificate of Baptism

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