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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000538

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RoyMacDonald Sex Male

Date of Birth April 2, 1924 Place of Birth WhycocomaghCounty of Inverness

Name of Father   MAIDEN NAME of Mother Mary Rae 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 Roy MacDonald Address of Applicant North Side East Bay, Cape Breton Co., NS Date 10 May 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RoyMacDonald

Born at Whycocomagh in the County of Inverness

That RoyMacDonald Whose Birth is sought to be registered was

born at Whycocomagh Inverness County on April 2, 1924

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

Information passed on by mother Church records

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