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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703282

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen StewartSkinner Sex Female

Date of Birth November 20, 1920 Place of Birth StellartonCounty of Pictou

Name of Father Alexander McLean Sinclair Skinner MAIDEN NAME of Mother Christena Patterson

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

Residence of Father when child was born Allan Avenue, Stellarton, Pictou Co. Present address of Father Stellarton, Pictou Co.

Occupation of Father at Birth of child Locomotive Engineer, Canadian National Railway Place of birth of Father Brookville, Pictou Co.

Race Canadian Name and present address of Physician in attendance at birth 412 Lockhartville Rd

Signature of Applicant Christena Skinner Address of Applicant Stellarton, Pictou Co. Date 8 September 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen StewartSkinner

Born at Stellarton in the County of Pictou

That Kathleen StewartSkinner Whose Birth is sought to be registered was

born at Stellarton Pictou County on November 20, 1920

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

As mother of the said Kathleen Stewart Skinner, I have personal knowledge of the date of her birth which is as set forth above

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