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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000428

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 30, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Flora Ann MacDonald

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Flora Ann Berry Address of Applicant PO Box 28, Marion Bridge, Cape Breton Co., NS Date 5 June 1974

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Ann MorganMacDonald

Born at Glace Bay in the County of Cape Breton

That Mary Ann MorganMacDonald Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 30, 1924

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

She is my daughter at the time of birth. I was living with my Aung, Mrs. Mary Ann Morgan, Glace Bay, therefore the name "Morgan"

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