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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000131

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 20, 1921 Place of Birth InvernessCounty of Inverness

Name of Father John Edward MacKay MAIDEN NAME of Mother Annie Maria MacIsaac

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Mabou

Race White Name and present address of Physician in attendance at birth Dr. MacMaster

Signature of Applicant John E. MacKay Address of Applicant Inverness Date November 25, 1950

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Inverness in the County of Inverness

That John JamesMacKay Whose Birth is sought to be registered was

born at Inverness Inverness County on July 20, 1921

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

Attached Baptismal Certificate.

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