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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000215

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald LawrenceMcKinnon Sex Male

Date of Birth August 21, 1920 Place of Birth WallaceCounty of Cumberland

Name of Father John Francis McKinnon MAIDEN NAME of Mother Beatrice Coulter

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

Residence of Father when child was born Wallace Present address of Father Pugwash

Occupation of Father at Birth of child C.N.R. Station Agent Place of birth of Father Mulgrave

Race Scottish Irish Name and present address of Physician in attendance at birth Dr. A. Coulter (deceased)

Signature of Applicant D.L. McKinnon Address of Applicant 59 Central Ave. Fairview Date November 15, 1954

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald LawrenceMcKinnon

Born at Wallace in the County of Cumberland

That Donald LawrenceMcKinnon Whose Birth is sought to be registered was

born at Wallace Cumberland County on August 21, 1920

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

The Baptismal Certificate which I possess contains the necessary facts including my parents names, date of my birth as well as place of my birth

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