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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000239

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 23, 1921 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Daniel R. MacMullin MAIDEN NAME of Mother Winnifred Boutilier

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

Residence of Father when child was born New Waterford Present address of Father Glace Bay

Occupation of Father at Birth of child Miner Place of birth of Father Frenchvale

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

Signature of Applicant Claude MacMullin Address of Applicant Sydney River Date May 11, 1957

Relationship of Applicant to child First Cousin

AFFIDAVIT

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

Born at New Waterford in the County of Cape Breton

That John CharlesMacMullin Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on May 23, 1921

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

I am a first cousin of John Charles MacMullin and twelve years his senior. I remember visiting my cousins home when he was born. I after visited his home and saw him as an infant child. I have watch him grow to manhood. (Baptism Certificate)

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