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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000481

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie Florence McKinnon Sex Female

Date of Birth December 15, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel McKinnon MAIDEN NAME of Mother Mary Ann MacDonald

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 Miner Place of birth of Father Glace Bay

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

Signature of Applicant Annie Florence Cole Address of Applicant Glace Bay Date October 26, 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie Florence McKinnon

Born at Glace Bay in the County of Cape Breton

That Annie Florence McKinnon Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 15, 1921

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

I am an elder brother of Annie Florence McKinnon, and have always understood my sister to have been born December 15, 1921.

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