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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000632

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dolena MargaretMacKeigan Sex Female

Date of Birth June 15, 1924 Place of Birth SandfieldCounty of Cape Breton

Name of Father Neil MacKeigan MAIDEN NAME of Mother Margaret S. MacDonald

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

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

Occupation of Father at Birth of child Lumberman Place of birth of Father Mira, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dolena M. MacKeigan Address of Applicant 2 Green Street, Dartmouth, NS Date 25 May 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dolena MargaretMacKeigan

Born at Sandfield in the County of Cape Breton

That Dolena MargaretMacKeigan Whose Birth is sought to be registered was

born at Sandfield Cape Breton County on June 15, 1924

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

Certificate of Baptism

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