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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000018

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Laura Elizabeth JaneKinney Sex Female

Date of Birth October 28, 1921 Place of Birth LinwoodCounty of Antigonish

Name of Father William Randall Kinney MAIDEN NAME of Mother Edith Kinney

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

Residence of Father when child was born Linwood Present address of Father Linwood

Occupation of Father at Birth of child Farmer Place of birth of Father Linwood

Race English Name and present address of Physician in attendance at birth Dr. W.F. MacKinnon

Signature of Applicant William Randall Kinney Address of Applicant Linwood Date June 10, 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Laura Elizabeth JaneKinney

Born at Linwood in the County of Antigonish

That Laura Elizabeth JaneKinney Whose Birth is sought to be registered was

born at Linwood Antigonish County on October 28, 1921

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

That I am the father of the person concerned and remember the date of the birth.

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