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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700515

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John RonaldMcKinnon Sex Male

Date of Birth October 17, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Dougald McKInnon MAIDEN NAME of Mother Mary McPhee

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

Residence of Father when child was born Glace Bay Present address of Father McKay's Corner

Occupation of Father at Birth of child Blacksmith Place of birth of Father Mabou

Race Name and present address of Physician in attendance at birth John Gammons

Signature of Applicant Douglad McKinnon Address of Applicant McKay's Corner, Glace Bay Date 10 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John RonaldMcKinnon

Born at Glace Bay in the County of Cape Breton

That John RonaldMcKinnon Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 17, 1919

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

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