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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000317

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 19, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father John MacMullin MAIDEN NAME of Mother Mary  White

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Glace Bay

Race Scottish Name and present address of Physician in attendance at birth Dr. M.T. Sullivan

Signature of Applicant Mary MacMullin Address of Applicant 26 Tobruk Crescent, Willowdale, Ontario Date July 10, 1963

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That GenevieveMacMullin Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 19, 1921

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

I am the mother of the said Genevieve MacMullin and I have knowledge of the fact and date of her birth from my memory of the event and from family records in my possession, Baptismal Certificate attached.

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