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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000816

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MarjorieMacKinnon Sex Female

Date of Birth May 26, 1920 Place of Birth East Lake AinslieCounty of Inverness

Name of Father Fred MacKinnon MAIDEN NAME of Mother Susan Crone

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

Residence of Father when child was born East Lake Ainslie, Inverness Co. Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father East Lake Ainslie, Inverness Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dan Fred MacKinnon Address of Applicant RR #3, Inverness Co. Date 14 February 1977

Relationship of Applicant to child Husband

AFFIDAVIT

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

Born at East Lake Ainslie in the County of Inverness

That MarjorieMacKinnon Whose Birth is sought to be registered was

born at East Lake Ainslie Inverness County on May 26, 1920

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

Bible record, church record, school record, census record.

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